结核性盆腔炎是由于结核杆菌侵入机体,在生殖器官引起的特异性炎症。一般发生在性成熟期及生育年龄女性,21岁至40岁者居多(占90.2％)。往往为继发性感染,主要由于肺或腹膜结核通过血行传播及腹腔内直接蔓延所致。常侵犯输卵管,其次为子宫内膜,卵巢、宫颈、阴道、外阴亦可受侵。典型生殖器结核表现为结核感染中毒症状,如低烧、消瘦、易疲劳、食欲差、不规则下腹痛、月经不调,年轻女性查有附件炎性肿块,几乎即可诊断为盆腔结核。但生殖器结核往往与身体其它部位如腹膜、肠管等结核同时存在,形成盆腔结核性包块,易与其它疾病混淆,有的临床无任何症状,致使诊断存在一定的困难,以 Tuberculous pelvic inflammatory disease is due to invade Mycobacterium tuberculosis in the genital organs caused by specific inflammation. Generally occurs in sexual maturity and childbearing age women, 21 to 40 years of age (90.2%). Often secondary to infection, mainly due to pulmonary or peritoneal tuberculosis spread through the bloodstream and the direct intraperitoneal spread due. Often violations of the fallopian tubes, followed by the endometrium, ovaries, cervix, vagina, vulva can also be invasive. Typical genital tuberculosis manifested as symptoms of tuberculosis poisoning, such as low-grade fever, weight loss, fatigue, poor appetite, irregular lower abdominal pain, irregular menstruation, young women check the attachment of inflammatory mass, can be almost diagnosed as pelvic tuberculosis. However, genital tuberculosis and other parts of the body often such as peritoneum, bowel and other tuberculosis exist at the same time, the formation of pelvic tuberculosis mass, easily confused with other diseases, some without any clinical symptoms, resulting in the diagnosis of some difficulties, with