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女性性器結核의 臨床組織學的 觀察

An Observation on Genital Tuberculosis in Women

대한산부인과학회지 1961년 4권 3호 p.47 ~ 52
朱甲順 (  ) - 國立醫療院 産婦人科

朴贊武 (  ) - 國立醫療院 産婦人科

Abstract


A study has been made of 48 cases of genital tuberculosis in women who have been treated during last 3 years at Dept of Ob. and. Gyn. in N.M.C..
Among 48 cases, 36 cases were proved histologically with biopsies and surgical specimens.(16 cases were proved with surgical specimens alone histologically and 7 cases were proved with biopsies and surgical specimens both together and 13 cases were proved with´ biopsies alone. 371 curettings were examined and tuberculosis of the endometrium was found in 4.9% The incidence of tuberculosis of the endometium in infertility was 19% in 31 cases. The most frequent site of tuberculous lesion in the surgical specimens was in tubes. Of the 23 tubes, tuberculous involvement was n 22, of the 22 ovaries in 8, and of the 9 uteri in 2. A history of previous lung tuberculosis was obtained in 2 cases and pleurisy in 5 cases among 48 cases. However, 25 cases showed radiological, evidence of tuberculosis lung conditions and 15 cases evidence of pleural affection in the past. history. Of: previous. peritonitis was obtained; in 10 cases, With .reference, to the age incidence, the average age was 26 years old at the first attendance. Of 45 married cases, only 14 gave a history; of previous . pregnancy. The major complaints were infertility in 82%, abdominal pain, in 63%, irre gular bleeding in 23%, amenorrhea in 15% and vaginal discharge in 12%. As-to the pelvic findings, adnexal swelling or thickning could be found most frequently as many as in 42%. , All patient were treated with., a combination of streptomycin, P.A.S and LN.H.. For a first few months, they were treated with all above 3 drugs and later with the last 2 drugs. Preoperatively combined therapy was given for 3 to 6 months and postoperatively for 6, to 12 months with good effect.

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