临床误诊误治2011，Vol.24Issue(4)：45-46,2.
盆腔结核60例误诊原因分析
Misdiagnosis Analysis of Female Pelvic Tuberculosis(A Report of 60 Cases)
颜为红 1陈葵喜 1马超1
作者信息
- 1. 621700 四川 江油,江油市九0三医院妇产科
- 折叠
摘要
Abstract
Objective To analyze the diagnosis, treatment, and misdiagnosis causes of female pelvic tuberculosis.Methods The clinical data of 60 pelvic tuberculosis patients misdiagnosed in our hospital was retrospectively analyzed. Results The clinical manifestation in all the patients was atypical. Blood routine examination showed severe anemia in 10 patients and decreased leucocyte in 24 patients. 60 patients underwent tumor marker detection, which showed increased CA 125 and normal levels of AFP and β-HCG in all the patients, and increased CA199 in 11 patients. X-ray examination on the chest showed obsolete tuberculose focus in 2 patients. Type-B ultrasonography confirmed that 56 patient were spina bifida cystica and solid lump, and solid or spina bifida cystica lump in adnexa region or abdominopelvic cavity, other patients were confirmed as occupying lesion in adnexa region or cavitas pelvis. 57 patients underwent abdominal CT examination, which showed medium to mass seroperitoneum in 24 patients, abnormal solid or spina bifida cystica in adnexa region or cavitas pelvis in 56 patients,nodose abnormal thickening in greater omentum, peritoneum, and mesentery in 14 patients, and lymphadenovarix behind peritoneum in 8 patients. 22 cases were misdiagnosed as malignancy with extensive intrapelvic metastasis. All the patients were diagnosed as pelvic tuberculosis by pathology after surgery. Conclusion Pelvic tuberculosis has slow pathogenesis and atypical clinical manifestations. Paracentesis under type-B ultrasonic and laparoscopy can avoid misdiagnosis of tuberculosis.关键词
结核,女性生殖器/误诊/卵巢肿瘤Key words
Tuberculosis, female genital/ Misdiagnosis/ Ovarian neoplasms分类
医药卫生引用本文复制引用
颜为红,陈葵喜,马超..盆腔结核60例误诊原因分析[J].临床误诊误治,2011,24(4):45-46,2.
