女性腹盆腔结核性包块89例误诊分析

目的分析女性腹盆腔结核性包块的临床特点,探讨诊断方法。方法回顾性分析89例经手术后病理确诊的女性腹盆腔结核性包块患者的临床资料。结果(1)临床表现各异,以腹部包块伴腹痛及腹胀、不孕、月经不调为主,分别占36.5%(57/156),20.5%(32/156),18.6%(29/156),既往有结核病史仅1例;(2)辅助检查:胸部放射线检查正常占90.0%(63/70);B超均有异常表现;ESR增块占79.4%(50/63);盆腔CT囊实性包块占90.0%(9/10);(3)术前均误诊,误诊为卵巢肿瘤者为主占79.8%(71/89);(4)术中所见:以包裹性积液多见,占79.8%(71/89)。结论女性腹盆腔结核性包块的诊断应结合病史及有关检查、综合分析,避免B超、盆腔CT诊断报告的误导。 更多还原…

Analysis on the misdiagnosis in 89 female patients with tuberculous mass of abdominopelvic cavity

Objective To analyze the clinical characteristics of female tuberculous mass in the abdominopelvic cavity and to evaluate diagnostic methods.Methods We analyzed retrospectively the clinical data of 89 female patients with tuberculous mass of abdominopelvic cavity confirmed by operation and pathology Results(1)Clinical characteristics were different,but abdominal mass compilcated by abdominal distention and abdominal pain,infertility and irregular menstruation were in the majority which accounted for 36.5%(5...