How to diagnose pelvic tuberculosis

Early detection is very important for the treatment of pelvic tuberculosis. So how to diagnose pelvic tuberculosis in clinical medicine? Generally, B-ultrasound and routine physical examination with blood collection are performed for identification, and the diagnosis can be made by combining clinical manifestations. The following is a detailed explanation of the diagnostic examination methods for pelvic tuberculosis.

Pelvic tuberculosis is a common gynecological disease. Pelvic tuberculosis is often combined with fallopian tube tuberculosis and can be divided into two types. One is wet peritonitis, which is dominated by exudation. Thousands of brown masses of various sizes are spread in the retroperitoneum. The exudate is a serous straw-yellow liquid that accumulates in the pelvis. Sometimes, due to adhesion, multiple cystic cysts may form, which need to be distinguished from uterine and ovarian tumors.

Diagnostic tests for pelvic tuberculosis:

1. When abdominal examination is accompanied by retroperitoneal tuberculosis, the abdomen may feel dry or have ascites, and there may be endoscopic effusion. A cystic mass may be palpated.

2. Clinical examination shows that the fallopian tubes on both sides become thickened into cords or adhere to the uterus and ovaries into masses, with an uneven surface or hard lumps (thickening or cheesy necrosis). Cervical tuberculosis can be seen as papillary hyperplasia or small ulcers in the cervix. In more severe cases of pelvic tuberculosis, an inflammatory mass can be palpated in the pelvic cavity, which is hard, has heavy adhesions, and is not significantly tender.

Auxiliary examination of pelvic tuberculosis

1. Pathological examination of the uterine wall: Endometrial puncture biopsy within 12 hours of menarche, with special attention paid to scraping the endometrium at the two corners, can determine whether there is endometrial tuberculosis. Diseases of the cervix, vagina, and private parts also require pathological examination and diagnosis.

2. X-ray: X-ray fluoroscopy or film of the chest and pelvis, which can show tuberculosis or pelvic calcifications. Hysterosalpingography (HSG) showed that the uterine cavity was of different shapes, different degrees of narrowing or deformation, with jagged edges, and there were several narrow parts in the lumen of the bilateral fallopian tubes, which were typical beaded or showed that the lumen was narrow and the muscles were rigid. HSG has the possibility of spreading beyond tuberculosis and its use should be strictly limited, and anti-tuberculosis drugs should be given before and after the examination when necessary.