关键词: 结核, 女性生殖器, 结核分枝杆菌, 诊断, 生育力, 盆腔结核

Abstract:

Pelvic tuberculosis is an inflammatory disease of the female reproductive system caused by Mycobacterium tuberculosis and is one of the important causes of infertility in women of childbearing age. The incidence rate of pelvic tuberculosis has increased significantly in recent years. The onset of this disease is hidden, and there is a lack of typical symptoms and signs. The commonly used medical tests have a low specificity and sensitivity for this disease. At present, there is no single standard that can be used for diagnosis. The conventional diagnosis mainly depends on the pathological results during and after operation, so the clinical diagnosis is difficult, and it is prone to missed diagnosis and misdiagnosis, resulting in delay in treatment. Advances in medical technology and improved awareness of pelvic tuberculosis among clinicians have made early diagnosis possible, but more convenient and rapid diagnostic methods still need to be explored. At present, the diagnostic methods of pelvic tuberculosis include serological examination, imaging examination, endoscopy, bacteriological examination, immunological examination, molecular biology examination, etc. The above methods have their own advantages and disadvantages, and the diagnostic methods of pelvic tuberculosis are still the focus of current research. Therefore, in order to provide reference for the establishment of clinical diagnostic thinking, we reviewed the above diagnostic methods and the latest research progress, analyzed and compared the advantages and disadvantages of different diagnostic methods, made a brief review of the existing diagnostic methods and summarized their diagnostic processes.

Key words: Tuberculosis, female genital, Mycobacterium tuberculosis, Diagnosis, Fertility, Pelvic tuberculosis