摘要
目的总结盆腔结核误诊为卵巢癌的经验教训。方法对我院2002年1月—2011年12月收治的18例误诊为卵巢癌的女性盆腔结核的资料进行回顾分析。结果盆腔结核易发于育龄女性,多数病程缓慢,缺乏典型临床症状,辅助检查的敏感性、特异性欠佳,临床误诊率较高。结论提高对盆腔结核的认识,通过全面收集病史,重视结核相关检查,合理运用B超引导下穿刺、腹腔镜检查术等,可减少盆腔结核的误诊率。
Objective To analyze the experience of female pelvic tuberculosis which were misdiagnosed as ovary carcinoma. Methods The clinical data of 18 cases of female pelvic tuberculosis which were misdiagnosed as ovary carcinoma from January 2002 to December 2011 in our hospital were concluded and analyzed retrospectively. Results Pelvic tuberculosis is more often occurred in Women in child-bearing period.The course of pelvic tuberculosis usually moved slowly.Pelvic tuberculosis had less typica1 symptoms and was poor in sensitivity and specificity of test.Therefore,misdiagnosis of pelvic tuberculosis are common. Conclusion We should pay more attention to pelvic tuberculosis,collect such medical histories completely and attach importance to tests correlated to tuberculosis.We can apply puncture under ultrasound-guided,laparoscopy and other methods reasonably,and then the probability of misdiagnosis of pelvic tuberculosis would be decreased.
出处
《临床军医杂志》
CAS
2012年第6期1474-1477,共4页
Clinical Journal of Medical Officers