Treatment of endometrial tuberculosis

Among reproductive system infectious diseases, endometrial tuberculosis is a very common disease. The tuberculosis of the uterine body we are talking about is mainly endometrial tuberculosis. Since endometrial tuberculosis is generally caused by bacterial infection, female friends should pay attention to personal hygiene and cleanliness. Once you find that you have symptoms of the disease, you should go to the hospital to consult a doctor in time. During the treatment, patients should also pay attention to hygiene habits, eat in moderation, keep a regular schedule, and cooperate with the doctor's treatment.

1. General treatment

Acute endometrial tuberculosis should be treated with bed rest, preferably in a semi-recumbent position, to facilitate the limitation of tuberculosis and the drainage of uterine secretions; hot compresses can be applied to the lower abdomen to promote the absorption of tuberculosis and relieve pain; bowel movements should be maintained to reduce pelvic congestion and facilitate toxin excretion;

2. Clear uterine cavity residues and other foreign matter

Endometrial tuberculosis that occurs after childbirth or abortion, if there is suspected placental tissue residue, should be removed immediately while using antibiotics, but it is better to gently protrude the residue in the uterine cavity, and try not to perform curettage. Curettage can be performed only when the antibiotics reach a certain dose and the tuberculosis is under control to prevent the spread of tuberculosis. If there is active bleeding in the uterus, the uterine cavity can be cleaned with the use of a large amount of antibiotics. For those with contraceptive devices in the uterus, they should also be removed as soon as possible to eliminate the primary lesion and control the spread of tuberculosis.

3. Uterine dilation and drainage and estrogen therapy

For chronic endometrial tuberculosis and senile endometrial tuberculosis, the cervical dilation method can be used to facilitate the drainage of uterine secretions and eliminate the cause. Elderly patients can also use a small amount of estrogen

IV. Intrauterine Drug Administration

For married patients, intrauterine medication can be used. Before the operation, the size and position of the uterus are checked by bimanual examination. The vulva and vagina are disinfected to detect the depth of the uterine cavity. Then the sterilized urinary catheter is inserted into the uterine cavity from the cervical ostium. The depth should be less than 1 cm. The selected drug can be slowly injected into the uterine cavity through the urinary catheter. After all the drug liquid has entered the uterine cavity, the urinary catheter is removed and the patient lies flat or with the hips raised for 1 to 1 hour. Discontinue use during menstruation. Because this method can make the drug act directly on the lesion, it is often effective.

5. Surgical treatment

This method is suitable for chronic endometrial tuberculosis caused by submucosal fibroids or polyps. In this case, antibiotic treatment alone is often ineffective, so surgical resection can be considered.