Examination for pelvic inflammatory disease

What tests are needed for pelvic inflammatory disease?

1. Ultrasound examination

Mainly B-type or grayscale ultrasound scanning and filming, this pelvic inflammatory disease examination technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines. However, mild or moderate pelvic inflammatory disease is difficult to show characteristics in B-type ultrasound images.

2. Physical examination

The patient presents with acute illness, fever, accelerated heart rate, abdominal distension, and tenderness in the lower abdomen. When pelvic inflammatory disease spreads to the abdominal cavity, peritoneal irritation signs are positive, the whole abdomen is tender, rebound pain, and muscle tension, and bowel sounds are weakened or disappeared.

3. Laparoscopy

If it is not diffuse peritonitis and the patient's general condition is good, laparoscopy can be performed on patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal diseases. Laparoscopy can not only make a clear diagnosis and differential diagnosis, but also make a preliminary judgment on the severity of pelvic inflammatory disease.

4. Posterior fornix puncture

It is one of the most commonly used and valuable methods for diagnosing pelvic inflammatory disease in gynecological acute abdomen. Through puncture, the contents of the abdominal cavity or the uterine rectal fossa, such as normal peritoneal fluid, fresh, old, clotted blood, purulent secretions or pus, can further clarify the diagnosis, and microscopic examination and culture of the punctured material are even more necessary.