Sutherland A M
Arch Gynakol. 1975 Oct 30;218(4):261-8. doi: 10.1007/BF00672328.
Until the introduction of the anti-tuberculosis drugs about 25 years ago, the treatment of tuberculosis of the female genital tract was generally unsatisfactory although many different forms of therapy were employed. Surgery was associated with a high incidence of post-operative complications, particularly of fistula, and an appreciable mortality rate. The position improved greatly after the introduction of the anti-tuberculosis drugs. Several drug programmes were employed by the writer, the best results being obtained with a combination of streptomycin, PAS and isoniazid for at least 18 months. Where drug treatment had failed, or where pelvic masses developed, surgery under drug cover was employed. No serious complications and no fatalities occurred in these patients. The question of possible transmission through sexual intercourse of male genitourinary tuberculosis is being investigated. A new drug programme is now being employed, the drugs used being streptomycin, ethambutol and isoniazid.
直到大约25年前抗结核药物问世之前，尽管采用了许多不同的治疗方法，但女性生殖道结核的治疗总体上并不令人满意。手术术后并发症的发生率很高，尤其是瘘管形成，且死亡率相当可观。抗结核药物问世后情况有了很大改善。作者采用了几种药物治疗方案，其中链霉素、对氨基水杨酸和异烟肼联合使用至少18个月取得了最佳效果。在药物治疗失败或出现盆腔肿块的情况下，则在药物掩护下进行手术。这些患者未发生严重并发症和死亡。男性泌尿生殖系统结核通过性交可能传播的问题正在研究中。目前正在采用一种新的药物治疗方案，所使用的药物为链霉素、乙胺丁醇和异烟肼。
