How to check for pelvic peritonitis?

Gynecologists say that modern people often do not pay attention to health care, so the incidence of gynecological diseases is getting higher and higher, causing more and more harm to people. Therefore, treating gynecological diseases has become people's primary task. However, some people ignore treatment because the harm caused by the disease at this stage is relatively small. It is too late to treat it when it becomes serious. So, what are the diagnostic methods for acute pelvic peritonitis?

1. Laparoscopy: If it is not diffuse peritonitis and the patient is in general good condition, laparoscopy can be performed on patients with pelvic peritonitis or suspected pelvic peritonitis and other acute abdomen. Laparoscopy can not only make a clear diagnosis and differential diagnosis, but also make a preliminary judgment on the severity of pelvic peritonitis.

2. Ultrasound examination: mainly B-type or grayscale ultrasound scanning and filming. This technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines. However, it is difficult to show the characteristics of mild or moderate pelvic peritonitis in B-type ultrasound images.

3. Examination of male partners: This is helpful for the diagnosis of female pelvic peritonitis. The urethral secretions of the male partner can be directly smeared or cultured for gonorrhea. If positive, it is a strong evidence, especially in patients with no symptoms or mild symptoms. Or more white blood cells can be found. If all male partners of PID patients are treated, regardless of whether they have symptoms of urethritis, it is obviously very meaningful to reduce recurrence.

4. Direct smear of secretions: The samples can be vaginal, cervical secretions, urethral secretions, or peritoneal fluid (obtained through the posterior fornix, abdominal wall, or through laparoscopy), and direct thin-layer smears are made. After drying, they are stained with methylene blue or Gram. Anyone who sees Gram-negative diplococci in polymorphonuclear leukocytes is infected with gonorrhea. Because the detection rate of cervical gonorrhea is only 67%, a negative smear cannot exclude the presence of gonorrhea, and a positive smear is very specific. Fluorescein monoclonal antibody dye can be used for microscopic examination of Chlamydia trachomatis. Any star-shaped flashing fluorescent dots observed under a fluorescence microscope are positive.