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目的分析女性腹盆腔结核性包块的临床特点,探讨诊断方法。方法回顾性分析89例经手术后病理确诊的女性腹盆腔结核性包块患者的临床资料。结果(1)临床表现各异,以腹部包块伴腹痛及腹胀、不孕、月经不调为主,分别占36.5%(57/156),20.5%(32/156),18.6%(29/156),既往有结核病史仅1例;(2)辅助检查:胸部放射线检查正常占90.0%(63/70);B超均有异常表现;ESR增块占79.4%(50/63);盆腔CT囊实性包块占90.0%(9/10);(3)术前均误诊,误诊为卵巢肿瘤者为主占79.8%(71/89);(4)术中所见:以包裹性积液多见,占79.8%(71/89)。结论女性腹盆腔结核性包块的诊断应结合病史及有关检查、综合分析,避免B超、盆腔CT诊断报告的误导。
Objective To analyze the clinical features of female pelvic tuberculosis and to explore the diagnostic methods. Methods A retrospective analysis of 89 cases of pathologically confirmed female pelvic tuberculous mass clinical data. Results (1) Clinical manifestations varied with abdominal mass and abdominal distension, infertility and irregular menstruation, accounting for 36.5% (57/156), 20.5% (32/156), 18.6% (29 / 156). In the past, there was only 1 case of history of tuberculosis. (2) Auxiliary examination: chest radiography was normal in 90.0% (63/70), abnormal in B-mode, ESR-augmented mass was 79.4% (50/63) (3) preoperative diagnosis of misdiagnosed as misdiagnosed as ovarian tumors accounted for 79.8% (71/89); (4) intraoperative findings: the package of More common effusion, accounting for 79.8% (71/89). Conclusions The diagnosis of abdominal pelvic tuberculosis in women should be combined with the history and related examination and comprehensive analysis to avoid misdiagnosis of B ultrasound and pelvic CT diagnosis report.