Figueroa-Damian R, Martinez-Velazco I, Villagrana-Zesati R, Arredondo-Garcia J L
Infectious Diseases Department, National Institute of Perinatology, Mexico, D.F., Mexico.
Int J Fertil Menopausal Stud. 1996 Jul-Aug;41(4):430-6.
To discuss the clinical presentation and consequences of genital tuberculosis (GTB), a known cause of infertility. Although it appears to be a rare entity, usually secondary to a primary site of infection by Mycobacterium tuberculosis, its true incidence is not known owing, in part, to inadequate diagnostic procedures, particularly in less developed areas of the world.
We present our experience with 25 cases of genital TB. Of these woman, 21 were seen for infertility; 3 were postmenopausal with uterine hemorrhage, and 1 was admitted with an acute abdomen. All women were treated medically and/or surgically.
Only five women were found to be suitable for artificial insemination. Two of the women became pregnant but aborted.
The incidence of genital TB may be higher than one might imagine, based on the lack of reports in the literature, and may account for a significant amount of female infertility.
探讨生殖器结核（GTB）的临床表现及后果，已知其为不孕的一个病因。尽管它似乎是一种罕见疾病，通常继发于结核分枝杆菌的原发感染部位，但部分由于诊断程序不完善，尤其是在世界上欠发达地区，其真实发病率尚不清楚。
我们介绍了25例生殖器结核患者的诊疗经验。这些女性中，21例因不孕就诊；3例绝经后出现子宫出血，1例因急腹症入院。所有女性均接受了药物和/或手术治疗。
仅5名女性被认为适合人工授精。其中2名女性怀孕但流产。
基于文献报道的缺乏，生殖器结核的发病率可能高于人们的想象，且可能是导致大量女性不孕的原因。
