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探讨女性生殖器结核的防治
作者单位:重庆永安中医院妇产科 重庆400000
摘    要:
目的探讨女性生殖器结核的防治。女性生殖器结核又称结核性盆腔炎,多发生于20~40岁的育龄妇女。也可见于绝经后的老年女性,[1]常为继发下行感染,绝大多数患者都有原发性结核病灶。据统计,腹腔结核占原发病50%以上,其次是肺结核、结核性胸膜炎,亦可偶发自肾、骨、关节结核。也有极少数为原发性的,如男方患有严重的生殖器结核如附睾结核、精囊结核或溃疡性淋巴腺结核等,通过性交传播,结核菌可上行感染。可以说,女性生殖器结核感染来自多方面,女性生殖器结核发展缓慢,病变隐匿,大多数病人缺乏自觉症状,常难得到早期诊断,病人多以原发性不孕就诊,因此往往诊治较晚,即使结核治愈,多数难以恢复生育能力。

关 键 词:女性生殖器  结核  误诊

Discussion on female genital tuberculosis control
Zhang Xiao-Dan. Discussion on female genital tuberculosis control[J]. World Health Digest Medical Monthly, 2008, 0(3)
Authors:Zhang Xiao-Dan
Abstract:
Objective To Discussion on female genital tuberculosis control. TB also known as female genital tuberculosis pelvic inflammatory disease, occurs in 20 to 40-year-old women of childbearing age. Can also be found in older postmenopausal women, [1] Downlink often secondary infections, the vast majority of TB patients have primary foci. According to statistics, the incidence of abdominal tuberculosis more than 50 per cent, followed by tuberculosis, tuberculosis pleurisy or even from the bottom of kidney, bone and joint tuberculosis. Also a very small number of primary, such as the man suffering from severe genital tuberculosis as tuberculosis epididymis, seminal vesicle tuberculosis or ulcerative tuberculous lymphadenitis, and so on, through sexual transmission, tuberculosis infection can uplink. It can be said that female genital tuberculosis infection from the multifaceted, female genital tuberculosis development has been slow and occult lesions, the majority of patients the lack of symptoms, and often hard to early diagnosis, patients with primary infertility treatment, it is often late diagnosis and treatment, even if TB cure, most difficult to restore fertility.
Keywords:Female genital mutilation  tuberculosis  Misdiagnosis
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