How to treat endometrial tuberculosis

How to treat endometrial tuberculosis? Endometrial tuberculosis is a gynecological disease, which is difficult to treat. Tuberculosis is a disease that seriously harms everyone, and endometrial tuberculosis is one of them. How to treat endometrial tuberculosis?

treat

1. Indications for surgery

(1) The symptoms of fallopian tube and ovarian abscess subsided after drug treatment, but the lump did not disappear, and the patient felt that the symptoms recurred.

(2) Patients whose drug treatment is ineffective and who develop tuberculous abscesses.

(3) A large encapsulated effusion has formed.

(4) The endometrium is extensively destroyed and anti-tuberculosis drugs are ineffective.

(5) For patients with tuberculous peritonitis complicated by ascites, surgical treatment combined with drug therapy is beneficial to the recovery of peritoneal tuberculosis.

2. Surgical Method

If the patient requests to retain menstruation, the uterus can be preserved according to the condition that the endometrial tuberculosis lesions have healed. For patients whose fallopian tubes and ovaries have formed large masses and cannot be separated, hysterectomy can be performed.

3. Scope of surgery

The scope of surgery should be determined based on age and the extent of the lesion. Since most patients are women of childbearing age, when surgery is necessary, consideration should also be given to preserving the patient's ovarian function.

4. Special Circumstances

Pelvic tuberculosis causes many adhesions that are extremely extensive and dense, making surgical separation difficult. If the operation is performed reluctantly, it may cause unnecessary damage. The surgeon should stop the operation promptly when encountering the above situation. If necessary, a second operation should be performed 3 to 6 months after the operation.

diagnosis

The diagnosis of endometrial tuberculosis is firstly performed by hysteroscopy, under which tuberculosis lesions can be clearly seen. At the same time, combined with clinical manifestations, patients with unexplained infertility are generally not excluded from endometrial tuberculosis.

Endometrial tuberculosis has many causes and is difficult to treat. Patients must do a good job of prevention. Only by doing a good job of prevention can they stay away from this disease.