Saracoglu O F, Mungan T, Tanzer F
Dr. Zekai Tahir Burak, Maternity Hospital, Ankara, Turkey.
Int J Gynaecol Obstet. 1992 Feb;37(2):115-20. doi: 10.1016/0020-7292(92)90492-2.
Pelvic tuberculosis was diagnosed in 72 patients analyzed during the years 1979-1989. Twenty-nine percent of the patients were over 40 years of age. The most common complaints were infertility (47.2%), abdominal or pelvic pain (32%) and abnormal uterine bleeding (11%). Only 2 patients had past or family history of pulmonary tuberculosis. The physical examination was normal in 31.6% of the patients. The chest X-ray was normal in 81% of the patients. Blocked tubes were present in 32 of 34 patients who had hysterosalpingograms. Even if the diagnosis can be made from a histopathologic examination, hysterosalpingography is also a very useful aid in establishing a diagnosis. The most common site of infection was the tubes. Reconstructive surgery was performed in nine patients. Only one pregnancy was found in the present study without any medical or surgical treatment of pelvic tuberculosis. In one patient with habitual abortion as a cause endometrial tuberculosis was also found.
在对1979年至1989年间分析的72例患者中诊断出盆腔结核。29%的患者年龄超过40岁。最常见的症状是不孕（47.2%）、腹部或盆腔疼痛（32%）和子宫异常出血（11%）。只有2例患者有肺结核既往史或家族史。31.6%的患者体格检查正常。81%的患者胸部X线检查正常。34例行子宫输卵管造影的患者中有32例输卵管堵塞。即使可以通过组织病理学检查做出诊断，子宫输卵管造影在确诊方面也是非常有用的辅助手段。最常见的感染部位是输卵管。9例患者接受了重建手术。在本研究中，未对盆腔结核进行任何药物或手术治疗的情况下仅发现1例妊娠。1例因习惯性流产就诊的患者还被发现患有子宫内膜结核。
