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目的:分析结核性盆腔炎的临床特点及治疗效果,以减少漏诊、误诊,提高盆腔结核的治疗效果。方法:总结两组盆腔结核患者的病史、临床特点及治疗过程,分析对比疗效。结果:治疗组35例经腹腔镜检查或剖腹探查术后,经病理学结果确诊为盆腔结核的患者采用正规抗痨方案,疗效优于对照组,两组比较差异有统计学意义(P<0.05)。结论:盆腔结核临床表现往往不典型,且易造成育龄期妇女不孕,临床易漏诊、误诊,通过腹腔镜检查能尽快明确诊断,减少误诊、漏诊。
Objective: To analyze the clinical features and treatment of tuberculous pelvic inflammatory disease in order to reduce the missed diagnosis, misdiagnosis and improve the therapeutic effect of pelvic tuberculosis. Methods: To summarize the history, clinical features and course of treatment of two groups of patients with pelvic tuberculosis, and to analyze and compare the curative effect. Results: In the treatment group, 35 cases were diagnosed as pelvic tuberculosis by pathology after laparoscopy or laparotomy, and the effect was better than that of the control group (P <0.05 for both groups) ). Conclusions: The clinical manifestations of pelvic tuberculosis are often not typical, and easily lead to infertility women of childbearing age, clinical misdiagnosis, misdiagnosis, laparoscopy can confirm the diagnosis as soon as possible to reduce misdiagnosis and missed diagnosis.