What should be paid attention to in the treatment of endometrial tuberculosis

Endometrial tuberculosis is a common disease that occurs not only in married women, but also in unmarried women, and has a great impact on women's lives. Therefore, after the disease is diagnosed, it is necessary to treat it reasonably to simplify the patient's pain. So what are the common treatments for endometrial tuberculosis?

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 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 improve the surgical effect, increase the success rate of pregnancy after surgery, and reduce the recurrence rate.

1. Laparoscopic surgery: Laparoscopic examination can provide a clear diagnosis, and specially designed knives, scissors, and forceps can be used to remove the lesion and separate the adhesion. Under laparoscopy, CO2 laser or helium-neon laser can be used to cauterize the lesion, that is, a second incision is made 2 cm above the pubic symphysis, and the laser knife enters the pelvic cavity through the cannula of this incision, and the lesion is cauterized under direct laparoscope vision. The cyst fluid can also be aspirated through laparoscopic puncture, then rinsed with saline, and then injected with 5-10 ml of anhydrous ethanol, fixed for 5-10 minutes and then aspirated, and finally rinsed with saline and aspirated.

2. Ultrasound puncture of ovarian endometrioid cyst: For cases of recurrence after surgical dissection or laparoscopic puncture, ultrasound puncture and drug treatment can be considered.

3. Conservative laparotomy: It is used for patients with more serious lesions and adhesions, especially in medical institutions without laparoscopic equipment or those who are not proficient in 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 more severe, and the other side is normal, some people advocate removing the adnexa on the diseased side.