Treatment considerations for endometrial tuberculosis

What are the treatments for endometrial tuberculosis? This is what everyone should grasp. Only by grasping the treatments for endometrial tuberculosis can we actively treat this disease and avoid the harm caused by the disease. The following are professional answers given by experts.

1. Conservative surgery: mainly used for young people who want to have children. The uterus and its appendages are preserved (bilateral preservation is preferred), and only the lesions are removed, adhesions are separated, the ovaries are reconstructed, and the tissues are repaired. In recent years, microsurgery has been used to remove tuberculosis lesions, carefully suture the wound surface, reconstruct the pelvic peritoneum, carefully stop bleeding, and thoroughly wash, so as to achieve perfect surgical results, improve the success rate of pregnancy after surgery, and reduce the recurrence rate.

2. Conservative laparotomy: It is used for patients with severe lesions and adhesions, especially those who are not proficient in laparoscopy in medical institutions without laparoscopic equipment or laparoscopy. Laparotomy can be performed to separate adhesions and remove ovarian endometrioid cysts, and preserve normal ovarian tissue as much as possible. If the lesion is limited to one side and is severe, and the other side is normal, some people advocate the removal of the diseased side. The pregnancy rate is higher than that after retaining the diseased ovary. Simple uterine suspension can also be performed. Whether to perform presacral nerve resection is worth discussing.

The above-mentioned treatment methods for endometrial tuberculosis have been tested in practice. After understanding the treatment methods for endometrial tuberculosis, everyone is required to choose the most suitable one based on their own actual situation.