tibljТуберкулез и болезни легкихTuberculosis and Lung Diseases2075-12302542-1506Медицинские знания и технологии10.58838/2075-1230-2026-104-2-110-120tiblj-1966Research ArticleОБЗОРREVIEWАналитический обзор методов диагностики женского генитального и перитонеального туберкулезаAnalytical Review of Diagnostic Methods of Female Genital and Peritoneal TuberculosisСоцкийП. О.SotskiyP. O.

Соцкий Павел Олегович - К. м. н., акушер-гинеколог

0001, г. Ереван, ул. Абовян 34/3 

Тел.: + 374 41 188888

Pavel O. Sotskiy - Candidate of Medical Sciences, Obstetrician-Gynecologist

34/3 Abovyan St., 0001 

Phone: +374 41 188888

pavel.sotskiy@gmail.comСоцкаяО. Л.SotskayaO. L.

Соцкая Ольга Леонтьевна - К. м. н., доцент кафедры фтизиатрии, акушер-гинеколог, фтизиогинеколог

0025, Ереван, ул. Корюна, д. 2

Тел.: + 374 (10) 58253

Olga L. Sotskaya - Candidate of Medical Sciences, Associate Professor  of Phthisiology Department, Obstetrician-Gynecologist, Phthisiogynecologist of Center of Medical Genetics and Primary Health Care  

2 Koryuna St., Yerevan, Armenia, 0025

Phone: + 374 (10) 58253

СафарянМ. Д.SafaryanM. D.

Сафарян Марина Дмитриевна - Д. м. н., заслуженный врач Армении, профессор,  зав. кафедрой фтизиатрии 

0025, Ереван, ул. Корюна, д. 2

Тел.: + 374 (10) 58253

Marina D. Safaryan - Doctor of Medical Sciences, Honored Doctor of Armenia, Professor, Head of Phthisiology Department 

2 Koryuna St., Yerevan, Armenia, 0025

Phone: + 374 (10) 58253

marina-safaryan@rambler.ruЦентр медицинской генетики и первичной охраны здоровьяАрменияCenter of Medical Medical Genetics and Primary Health CareArmeniaЕреванский государственный медицинский университет им. Мх. Гераци; Центр медицинской генетики и первичной охраны здоровьяАрменияYerevan State Medical University named after Mkhitar Heratsi; Center of Medical Medical Genetics and Primary Health CareArmeniaЕреванский государственный медицинский университет им. Мх. ГерациАрменияYerevan State Medical University named after Mkhitar HeratsiArmenia2026140520261042110–120Copyright © Соцкий П.О., Соцкая О.Л., Сафарян М.Д., 20262026Соцкий П.О., Соцкая О.Л., Сафарян М.Д.Sotskiy P.O., Sotskaya O.L., Safaryan M.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tibl-journal.com/jour/article/view/1966

Обзор включает анализ 80 источников по женскому генитальному туберкулезу (ЖГТБ) и перитонеальному туберкулезу (ПТБ), чья клинико-социальная значимость обусловлена прямым влиянием на репродуктивное здоровье. Эти формы туберкулеза связаны с тяжелыми долгосрочными последствиями – бесплодием, хронической тазовой болью, повторными ранними потерями беременности и риском генерализации туберкулеза вплоть до милиарной формы во время гестации. Раннее выявление осложняется труднодоступностью очагов, ограниченной возможностью визуализирующих методов и частым малосимптомным течением. Обзор систематизирует современные данные о лабораторной и инструментальной диагностике внелегочного туберкулеза (ВЛТБ) с акцентом на ЖГТБ и ПТБ и включает критическую оценку доказательств, касающихся клинической верификации и мониторинга терапии.

This review analyzes 80 publications on female genital tuberculosis (FGTB) and peritoneal tuberculosis (PTB), conditions of significant clinical and social relevance due to their direct impact on reproductive health. Both forms are associated with severe long-term outcomes, including infertility, chronic pelvic pain, recurrent early pregnancy loss, and the risk of disease dissemination during pregnancy, up to miliary tuberculosis. Early diagnosis is hindered by the deep anatomical location of lesions, the limited specificity of imaging methods, and the frequent latent course of the disease. The review summarizes current laboratory and instrumental approaches to diagnosing extrapulmonary tuberculosis (EPTB), with a focus on FGTB and PTB, and provides a critical assessment of the evidence related to clinical verification and treatment monitoring.

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The authors declare that there are no conflicts of interest present.