Analysis of Clinical Characteristics and Misdiagnosis Cause of Female Genital Tuberculosis (Report of 60 Cases)

CAO Shi-peng; FU Man-jiao

doi:10.3969/j.issn.1002-3429.2015.10.003

Abstract：Objective To explore the clinical characteristics and analyze the misdiagnosis cause of female genital tu-berculosis ( FGTB) in order to improve the diagnosis level of FGTB. Methods The clinical data of 60 FGTB patients were collected and retrospectively analyzed. Results Clinical manifestations of FGTB were menstrual disorders, infertility, abdom-inal pain, and abdominal mass. Some patients suffered accompanied weakness, weight loss, fever, night sweat and other sys-temic symptoms. Purified protein derivative of tuberculin test was positive in 48 cases (80. 0%), serum tuberculosis antibody was positive in 13 cases (21. 7%), serum cancer antigen 125 levels were elevated in 51 patients (85. 0%). 17 patients (28. 3%) out of 60 patients were initially diagnosed as having FGTB, 10 patients (16. 7%) were diagnosed as having sus-pected FGTB, 33 patients (55. 0%) were misdiagnosed as having other genital diseases; the misdiagnosis time was from 10 days to 2 years. In suspected and misdiagnosed cases, 36 cases were confirmed by clinical manifestations, imaging and tuber-culosis pathogen examination, 24 cases were confirmed by operation and pathology. All patients underwent anti-tuberculosis treatment, and 53 cases (88. 3%) were cured, 4 cases (6. 7%) suspended treatment and 3 cases (5. 0%) were lost during follow-up. Conclusion FGTB is prone to be misdiagnosed. Childbearing-age women with pelvic effusion should be alert to FGTB. Hysteroscopy or laparoscopy together with abdominal cavity effusion tuberculosis pathogen examination ise helpful to avoid misdiagnosis and mistreatment.