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目的 探讨女性盆腔腹膜结核的临床特点和诊治依据,避免误诊。方法 回顾分析12例女性盆腔腹膜结核患者的病史、临床表现及诊治经过。结果 入院初诊盆腔腹膜结核3例,诊断准确率25％。3例剖腹探查病理确诊,2例盆腔包块穿刺活检病理确诊,7例诊断性抗结核治疗确诊。确诊后治疗效果满意。结论 女性盆腔腹膜结核临床表现多样,需综合分析病史、症状、辅助检查,提高诊断准确率。本病可伴有血清CA125升高,抗结核抗体的诊断价值有待进一步研究。
Objective To investigate the clinical features and diagnosis and treatment of pelvic peritoneal tuberculosis in women and avoid misdiagnosis. Methods Retrospective analysis of 12 cases of pelvic peritoneal tuberculosis in patients with history, clinical manifestations and diagnosis and treatment after. Results The initial diagnosis of pelvic peritoneal tuberculosis in 3 cases, the diagnostic accuracy rate of 25%. Three cases of laparotomy were confirmed by pathology, two cases of pelvic mass biopsy were confirmed, and seven cases of diagnostic anti-tuberculosis were diagnosed. After the diagnosis of satisfactory treatment. Conclusions The clinical manifestations of pelvic peritoneal tuberculosis in women are diverse, requiring a comprehensive analysis of history, symptoms and laboratory examinations to improve diagnostic accuracy. The disease may be associated with elevated serum CA125, the diagnostic value of anti-TB antibody remains to be further studied.