首页> 外文期刊>Acta Biomedica Scientifica >Прогнозирование и диагностика репродуктивных нарушений, ассоциированных с генитальным туберкулёзом, у женщин
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Прогнозирование и диагностика репродуктивных нарушений, ассоциированных с генитальным туберкулёзом, у женщин

机译:女性生殖器结核相关生殖疾病的预测和诊断

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Diagnosis of tuberculosis of female genitalia is based on a complex of traditional and new diagnostic methods used in a certain sequence in outpatient and/or inpatient settings. Because of insufficiently effective diagnostic tests, genital tuberculosis is often detected in irreversible anatomical changes, when the prospects for restoring the reproductive function are unsatisfactory. The aim of the work was to identify socio-economic and biomedical risk factors for reproductive disorders associated with genital tuberculosis in order to create statistical models for the prediction and diagnosis of these disorders. To study the connection between the presence of genital tuberculosis and a number of prognostic and diagnostic features, the method of nonlinear regression analysis (logistic regression) was used. Statistical models of prognosis and diagnosis of reproductive disorders associated with genital tuberculosis (HT) in women at the outpatient stage are proposed. The forecast model included clinical and anamnestic predictors: prolonged subfebrile condition, weight loss, increase in inguinal lymph nodes, membership in the social group ?female students?, contact with tuberculosis patients, tuberculin specimen turnover, presence of pulmonary tuberculosis in the anamnesis. The statistical diagnostic model included the following important methods: enzyme immunoassay, laser fluorescence method, Diaskin-test, hysterosalpingography (segmented fallopian tubes), determination of progesterone, estradiol and testosterone levels in the blood serum (decrease of these hormones).
机译:女性生殖器结核病的诊断基于在门诊和/或住院环境中按一定顺序使用的传统和新诊断方法的综合。由于无效的诊断测试,当恢复生殖功能的前景不理想时,常常在不可逆的解剖变化中发现生殖器结核。这项工作的目的是确定与生殖器结核相关的生殖疾病的社会经济和生物医学危险因素,以便建立预测和诊断这些疾病的统计模型。为了研究生殖器结核病的存在与许多预后和诊断特征之间的联系,使用了非线性回归分析(逻辑回归)方法。提出了门诊阶段女性生殖器官结核(HT)相关生殖疾病预后和诊断的统计模型。预测模型包括临床和遗忘预测指标:长时间的低热状态,体重减轻,腹股沟淋巴结增加,社会团体“女学生”的成员,与结核病患者接触,结核菌素标本周转率,病史中存在肺结核。统计诊断模型包括以下重要方法:酶免疫法,激光荧光法,Diaskin测试,子宫输卵管造影术(分段输卵管),血清中孕激素,雌二醇和睾丸激素水平的测定(这些激素的减少)。

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