Analysis of the examination methods for endometrial tuberculosis

The emergence of endometrial tuberculosis requires a comprehensive understanding, and attention should be paid to reasonable treatment, and some inspection methods should be paid attention to effectively improve the patient's physical fitness and avoid causing more harm. At the same time, attention should also be paid to reasonable adjustment and reasonable treatment. What are the common inspection methods for endometrial tuberculosis?

X-ray examination: There is hysterosalpingography. Women have endometrial tuberculosis, tuberculosis lesions in the posterior wall of the uterus, uterosacral ligaments, rectum and appendages, etc., which leads to the posterior position of the uterus, which is fixed and forms a mushroom or parasol shape. The ovaries are cystic and enlarged, and iodized oil residues around the umbrella end. The patency of the fallopian tube is blocked. Due to adhesions in the pelvic cavity, 24-hour X-ray review shows that the iodized oil in the pelvic cavity is in the form of small lumps, of varying thickness, and distributed in a dot-like snowflake pattern.

B-ultrasound examination: B-ultrasound is currently an effective method for assisting the diagnosis of endometrial tuberculosis. It is used to observe ovarian endometrial tuberculosis cysts. The characteristics of the sonogram are: cystic masses are common images, with blurred boundaries, sparse light spots inside, thick cystic fluid, and sometimes dense, coarse light spots appear due to the concentration and organization of old blood clots, which is a mixed mass; the mass is often located on the posterior side of the female uterus, and cystic uterine concomitant symptoms can be seen, that is, the cyst image and the uterine image overlap to varying degrees; the cyst sometimes ruptures spontaneously, and fluid can be seen in the posterior concave, and the internal cyst is smaller than the front.

Laparoscopy: Currently, it is the main method for diagnosing endometrial tuberculosis. The pelvic cavity can be directly peeked in, and tuberculosis foci can be clearly diagnosed, and staging can be performed based on the findings, and then treatment can be performed. There are many manifestations of tuberculosis foci under laparoscopy: the color of the lesions can be red, blue, black, brown, white, gray, etc.; the shape of the lesions can be dot-like, nodular, vesicular, polyp-like, etc. Sometimes peritoneal defects or small pouches are seen, with tuberculosis foci at the bottom.

Immunological testing: Studies have shown that the onset of endometrial tuberculosis is related to immunity, female cellular immunity, and endometrial fragments can be implanted in the peritoneum, leading to endometriosis. Currently, there are several immune indicators that can be used as a reference for diagnosing endometriosis: macrophages; interleukin I and II; autoantibodies; cellular immunity, humoral immunity, and complement.