Genital Tuberculosis : Present Scenari
نویسندگان
چکیده
Two hundred and thirty cases of tuberculosis were analysed at randoln in O.P.D. of Obstetrics and Gynaecology, Governnlent Medical college, Amritsar from January 1997 to March 2001. The aim was to evaluate the ~linicopathologicalpresentation of the disease and the Inode of diagnosis by formulating some suspicion criteria, inclusion criteria, exclusion criteria and conclusion criteria and to see the response of anti-tubercular therapy. MaxilTIUln patients (43.47%) were in 20-25 years age group. Infertility was present in 78.69% patients, menstrual disturbances in 33.91 %, chronic pain lower abdomen in 53.91% and adnexallTIasses in 32.600/0 patients, 1.730/0 cases reported with pregnancy with tuberculosis. Although neutropenia and lymphocytosis were also considered to be supporting tests, yet ESR was found to be raised in 90% patients. Mantoux was positive in 93.910/0 and Elisa testing in 78.69% patients. Positive value of HSG was found to be 69.060/0 and that of diagnostic laparoscopy was 94.160/0. However, positive HPE ofendonletriuln was observed in 3.3 1% patients only. The diagnostic conclusion criteria was taken as two non-specific positive and one specific positive investigations. 17.6% patients conceived during or after the treatment w lile 96.770/0 patients were relieved froln chronic lower abdomen pain, 89.79% from menstrual disturbances and T. o. Inasses disappeared in 89.33% patients after the anti-tubercular therapy.
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