临床误诊误治2017，Vol.30Issue(1)：3-6,4.DOI:10.3969/j.issn.1002-3429.2017.01.002
女性盆腔结核误诊18例分析
Misdiagnosis Analysis of 18 Female Patients with Pelvic Tuberculosis
杨艳艳 1韩华 2褚兆苹 2代聪伟 1秦英1
作者信息
- 1. 050051 石家庄，河北省人民医院妇二科
- 2. 050051 石家庄，河北省人民医院妇一科
- 折叠
摘要
Abstract
Objective To analyze clinical characteristics and misdiagnosed causes of female patients with pelvic tu-berculosis in order to improve the final diagnosis rate. Methods Clinical data of 18 misdiagnosed female patients with pelvic tuberculosis admitted during March 2010 and March 2016 was retrospectively analyzed. Results The initial symptoms of the patients were abdominal distention and abdominal pain accompanied by poor appetite and fever,and the main sign was ascites. A total of 2 patients had confirmed history of tuberculous infection. Among the patients,7 patients were misdiagnosed as hav-ing ovarian tumor,7 patients as having cryptogenic ascites,2 as having pelvic abscess,1 as having incomplete intestinal ob-struction and 1 as having acute appendicitis. A total of 8 patients were diagnosed as having pelvic tuberculosis by postoperative pathological results;5 patients were confirmed by clinical manifestations combined with results of CT,MRI and seroperitone-um examinations,erythrocyte sedimentation rate,increasing ca125(cancer antigen 125)and consultation of many depart-ments;3 patients were confirmed by combination of tuberculosis or tuberculosis of lumbar spine simultaneously;2 patients were confirmed by tuberculosis infection T cell spot test. Symptoms of the 18 patients had obviously improved,and ascites was reduced or disappeared after antituberculosis therapy. With 3 months-6 years of follow-up,4 patients failed to obtain after dis-charge,while others showed no tuberculosis recurrence. Conclusion Female patients with pelvic tuberculosis are very easy to be misdiagnosed because of non-specific manifestations. Clinicians may reduce misdiagnosis rate by strengthening the aware-ness and comprehensively using various auxiliary examinations.关键词
结核,泌尿生殖系统/女性/误诊/卵巢肿瘤Key words
Tuberculosis,urogenital/Femininity/Misdiagnosis/Ovarian neoplasms分类
医药卫生引用本文复制引用
杨艳艳,韩华,褚兆苹,代聪伟,秦英..女性盆腔结核误诊18例分析[J].临床误诊误治,2017,30(1):3-6,4.
