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目的探讨女性生殖器结核(FGT)的临床表现及诊断方法。方法对1996～2006年上海交通大学附属仁济医院收治的FGT15例患者,回顾性分析其病史、临床表现及诊治经过。结果入院初步诊断FGT5例,诊断准确率33.3%;12例剖腹探查病理确诊,2例诊断性刮宫病理确诊,1例抗结核治疗有效而确诊。结论FGT临床表现多样,需综合分析病史、症状及辅助检查,提高诊断准确率。
Objective To investigate the clinical manifestations and diagnosis of female genital tuberculosis (FGT). Methods Fifteen patients with FGT admitted to Renji Hospital Affiliated to Shanghai Jiao Tong University from 1996 to 2006 were retrospectively analyzed for their history, clinical manifestations, diagnosis and treatment. Results The initial diagnosis of FGT was confirmed in 5 cases and the accuracy of diagnosis was 33.3%. 12 cases were diagnosed by laparotomy, 2 cases were diagnosed by diagnostic curettage and 1 case was confirmed by anti-TB treatment. Conclusion The clinical manifestations of FGT are diverse, requiring a comprehensive analysis of history, symptoms and laboratory tests to improve diagnostic accuracy.