CAJ | 학술논문

目的：探讨女性不孕症患者中盆腔结核的发病情况,为结核性不孕症患者的诊治提供参考。方法采用前瞻性研究方法收集四川省眉山市妇幼保健院和兰州天伦不孕症医院不孕症患者中盆腔结核确诊病例,对其在眉山和兰州两个中心的发病情况进行对照性研究。结果两组不孕症患者中盆腔结核确诊病例表现出明显差异(P<0.01),兰州组发病率为6.39%(206/2880),眉山组2.52%(42/1672)；两组盆腔结核患者中,年龄35岁以下、职业为农民的汉族患者居多,年龄和职业在两组间差异没有统计学意义(P>0.05),但是民族间比较差异有显著性(P<0.01),兰州组中少数民族患者构成比明显高于眉山组；两组原发性盆腔结核所占比例均明显高于继发性,兰州为155/51,眉山为36/6,但是两组间原发性和继发性比较,差异没有统计学意义(P>0.05)。输卵管结核的构成比高于其他亚型,原发性比例明显高于继发性(P<0.05)。子宫内膜结核和混合型结核原发性与继发性之间差异没有统计学意义(P>0.05)。其他类型结核所占比例不高,但在继发性多于原发性(P<0.01)。各个亚型在眉山和兰州两组间比较,无论原发性还是继发性均没有表现出明显差异(P>0.05)。结论盆腔结核在原发不孕患者中高发,发病率在地域、年龄、职业、民族以及临床类型等方面表现出流行病学特征,提高不孕症医师对盆腔结核的敏感性利于该病的早期诊断和治疗。
목적：탐토녀성불잉증환자중분강결핵적발병정황,위결핵성불잉증환자적진치제공삼고。방법채용전첨성연구방법수집사천성미산시부유보건원화란주천륜불잉증의원불잉증환자중분강결핵학진병례,대기재미산화란주량개중심적발병정황진행대조성연구。결과량조불잉증환자중분강결핵학진병례표현출명현차이(P<0.01),란주조발병솔위6.39%(206/2880),미산조2.52%(42/1672)；량조분강결핵환자중,년령35세이하、직업위농민적한족환자거다,년령화직업재량조간차이몰유통계학의의(P>0.05),단시민족간비교차이유현저성(P<0.01),란주조중소수민족환자구성비명현고우미산조；량조원발성분강결핵소점비례균명현고우계발성,란주위155/51,미산위36/6,단시량조간원발성화계발성비교,차이몰유통계학의의(P>0.05)。수란관결핵적구성비고우기타아형,원발성비례명현고우계발성(P<0.05)。자궁내막결핵화혼합형결핵원발성여계발성지간차이몰유통계학의의(P>0.05)。기타류형결핵소점비례불고,단재계발성다우원발성(P<0.01)。각개아형재미산화란주량조간비교,무론원발성환시계발성균몰유표현출명현차이(P>0.05)。결론분강결핵재원발불잉환자중고발,발병솔재지역、년령、직업、민족이급림상류형등방면표현출류행병학특정,제고불잉증의사대분강결핵적민감성리우해병적조기진단화치료。
Objective To investigate the incidence of pelvic tuberculosis in women with infertility,to provide a reference for the diag-nosis and treatment of infertility combined with tuberculosis. Methods By using a prospective study method,data of infertility pa-tients with pelvic tuberculosis in MCH hospital of Meishan and Lanzhou Tianlun Infertility Hospital were collected,and the incidences of two centers of Meishan and Lanzhou were explored comparatively. Results The diagnosed cases of pelvic tuberculosis in infertility pa-tients of two groups showed significant differences (P<0. 01). The incidence rate of Lanzhou group was 6. 39% (206/2880) and 2. 52% (42/1672) for Meishan group. Among the pelvic tuberculosis patients of two group,those aged below 35,occupation for farmers with Han nationality were the majority. Age and occupation did not exhibit statistical significance between two groups (P>0. 05),how-ever,there was significant difference in nationality between groups (P<0. 01). Patients with minority nationality in Lanzhou group were significantly more than those of Meishan group. The proportion of primary pelvic tuberculosis in Lanzhou was 155/51,and in Meishan was 36/6,significantly higher than that of secondary in two groups. but in comparison of primary and secondary between two groups,the difference was not statistically significant (P>0. 05). Fallopian tube tuberculosis was higher than the other subtypes,primary ratio sig-nificantly higher than that of secondary (P<0. 05). The difference of endometrial tuberculosis and mixed type nodules between primary and secondary were not statistically significant (P>0. 05). The proportion of other tuberculosis types was not high,but the secondary was more than primary (P<0. 01). In comparison of each subtype between two groups,both primary and secondary did not show obvi-ous differences (P>0. 05). Conclusions The incidence of pelvic tuberculosis in patients with primary infertility was high,which showed epidemiological characteristics in the aspects of region,age,occupation,nationality and clinical types. To improve susceptibility of infertility physician for the disease of pelvic tuberculosis had advantages for early diagnosis and treatment of infertility.