What are the diagnostic criteria for pelvic peritonitis?

Everyone is aware of the disease of pelvic peritonitis, but many people suffer from this disease. Once this disease occurs, it will affect women's sexual life and cause infertility. Its harm is extremely great. Therefore, you should pay attention to the development of politics and economy, adopt some reasonable treatment methods, and conduct effective examinations. So, what are the examination methods for pelvic peritonitis? Let's take a look at the expert analysis.

1. Examination of male partners is helpful for the diagnosis of pelvic peritonitis. The urethral secretions of male partners 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, whether they have symptoms or not, it is obviously very meaningful to reduce recurrence.

2. 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.

3. 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 fallopian tubes, ovaries and intestinal tract. However, mild or moderate masses are difficult to show characteristics in B-type ultrasound images.

4. Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for acute abdomen. Through puncture, the abdominal contents or uterine rectal fossa contents obtained, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, can further clarify the diagnosis. Microscopic examination and culture of the punctured material are even more necessary.