What are the routine examination items for pelvic peritonitis?

Pelvic peritonitis is a type of female gynecological disease, which mainly refers to inflammation caused by infection of tissues and organs in the female pelvis. So how can female friends diagnose the existence of pelvic peritonitis in time? What are the examination methods for pelvic peritonitis? Let's take a look at this issue together:

1. Direct smear of secretions: Take samples of vaginal and cervical secretions, urethral secretions, or peritoneal fluid for direct thin-layer smear.

2. Posterior fornix puncture: This is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Through puncture, if the abdominal cavity contents or uterine rectal fossa contents are normal, the peritoneal fluid, blood, purulent secretions or pus can further clarify the diagnosis, and microscopic examination and culture of the punctured material are even more necessary.

4. Laparoscopic examination: If it is not diffuse peritonitis and the patient is generally in good condition, laparoscopy can be performed on patients with pelvic peritonitis or suspected pelvic peritonitis and other acute abdomen. It can not only confirm the diagnosis and differential diagnosis, but also make a preliminary judgment on the degree of the disease.

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