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女性生殖器结核再探讨。

Female genital tuberculosis revisted.

作者信息

Qureshi R N, Samad S, Hamid R, Lakha S F

机构信息

Department of Obstetrics and Gynaecology, Aga Khan Univeristy Hospital, Karachi.

出版信息

J Pak Med Assoc. 2001 Jan;51(1):16-8.

PMID:11255992
Abstract

OBJECTIVE

To assess the clinical presentation of genital tuberculosis and to study various modes of diagnosis and treatment.

SETTING

The Aga Khan University Hospital (AKUH), Karachi.

METHOD

A retrospective case review of all index female cases of genital tuberculosis, admitted to AKUH over twelve years of period.

RESULT

A total of 40 cases of genital tuberculosis were reported during this time period. Majority of cases were between 25-45 years. The commonest presenting symptoms were infertility (42.5%) and abdominal pain (42%). Others included fever, ascites, irregular vaginal bleeding, oligomenorrhea, chest pain and pain in the flanks. Main mode of treatment was antituberculous drug therapy for duration of nine months. Only 3 patients had successful pregnancies.

CONCLUSION

Genital tuberculosis should be excluded when managing infertility in females.

摘要

目的

评估生殖器结核的临床表现,并研究其各种诊断和治疗方式。

地点

卡拉奇阿迦汗大学医院(AKUH)。

方法

对在12年期间入住AKUH的所有生殖器结核女性索引病例进行回顾性病例分析。

结果

在此期间共报告了40例生殖器结核病例。大多数病例年龄在25至45岁之间。最常见的症状是不孕(42.5%)和腹痛(42%)。其他症状包括发热、腹水、不规则阴道出血、月经过少、胸痛和侧腹疼痛。主要治疗方式为抗结核药物治疗,疗程为九个月。只有3例患者成功妊娠。

结论

在处理女性不孕问题时应排除生殖器结核。

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