Is the cure rate of endometrial tuberculosis high?

Endometrial tuberculosis is a common gynecological disease. In daily life, many married women do not pay much attention to personal hygiene in this regard, which may lead to the occurrence of endometrial tuberculosis. In fact, the treatment of endometrial tuberculosis has been studied clinically. So, is the success rate of curing endometrial tuberculosis high?

1. General treatment

Patients with acute endometrial tuberculosis should rest in bed, preferably in a semi-recumbent position, to facilitate the confinement of tuberculosis and the drainage of uterine secretions; hot compresses can be applied to the lower abdomen to promote the absorption of tuberculosis and relieve pain; bowel movements should be kept open to reduce pelvic congestion and facilitate toxin excretion; excessive gynecological examinations should be avoided to prevent the spread of tuberculosis; physical cooling can be used for high fever; the diet should consist of liquid or semi-liquid, easily digestible foods that are high in calories, protein, and multiple vitamins. Those who cannot eat should receive intravenous nutrition and water supplements, and pay attention to correcting electrolyte imbalances and acidosis.

2. Clear uterine cavity residues and other foreign matter

Endometrial tuberculosis after childbirth or abortion, if there is suspected placental tissue residue, should be removed immediately while using antibiotics, but it is better to gently protrude the uterine cavity residue, and try not to perform curettage. Curettage can be performed only when the antibiotics reach a certain dose and tuberculosis is under control to prevent the spread of tuberculosis. If there is active bleeding in the uterus, the uterine cavity can be cleaned with the use of a large amount of antibiotics. For those with contraceptive devices in the uterus, they should also be removed as soon as possible to eliminate the primary lesion and control the spread of tuberculosis.

3. Uterine dilation and drainage and estrogen therapy

For chronic endometrial tuberculosis and senile endometrial tuberculosis, the cervical dilation method can be used to facilitate the drainage of uterine cavity secretions and eliminate the cause. Elderly patients can also use a small amount of estrogen.

IV. Intrauterine Drug Administration

For married patients, intrauterine medication can be used. Before the operation, the size and position of the uterus should be determined by bimanual examination. After the vulva and vagina are disinfected and the depth of the uterine cavity is detected, a sterile catheter is inserted into the uterine cavity from the cervical os, with a depth less than 0.5 cm. The selected medicine is slowly injected into the uterine cavity through the catheter. After all the medicine has entered the uterine cavity, the catheter is removed, and the patient should lie flat or raise his hips for 1 to 2 hours. This method is repeated once a day and is discontinued during menstruation. Since this method can make the drug act directly on the lesion, it is often effective.

5. Surgical treatment

This method is suitable for chronic endometrial tuberculosis caused by submucosal fibroids or polyps. In this case, antibiotic treatment alone is often ineffective, so surgical resection can be considered.

The above are our main methods for treating endometrial tuberculosis. Many patients are often at a loss when they encounter endometrial tuberculosis, which delays the best treatment period. This will cause some troubles in our treatment.