What are the common diagnostic methods for endometrial tuberculosis?

Experts say that endometrial tuberculosis is a common gynecological disease that troubles many female friends. The occurrence of the disease will have a certain impact on women's fertility, so early detection and treatment can reduce the occurrence of harm. Experts say that in order to detect it early, a clear diagnosis must be made. So what diagnoses should be made when diagnosing endometrial tuberculosis? The following is a detailed introduction for you.

1. Laparoscopic diagnosis: Laparoscopic diagnosis is the main method for diagnosing endometrial tuberculosis. The so-called laparoscopic diagnosis means that the pelvic cavity can be directly viewed through a laparoscope, and the lesion, scope and severity can be directly seen. The disease can also be staged based on the diagnosis, which is convenient for deciding the treatment plan. Laparoscopic diagnosis is currently the most reliable method for diagnosing endometrial tuberculosis.

2. B-ultrasound diagnosis. Currently, B-ultrasound is an effective method for assisting the diagnosis of endometriosis. The sonogram of endometrioid cysts shows granular and fine echoes. If the cyst fluid is viscous and there are endometrial fragments floating inside, it is easy to be similar to the echo characteristics of hair in the fat of teratoma. Sometimes there are internal partitions, which divide it into several cysts of different sizes. The echoes of each cyst are inconsistent. It is often adhered to the uterus, and the boundaries between the two are unclear. It helps patients understand ovarian endometrial tuberculosis and its size, and can also promptly detect masses that cannot be palpated during pelvic diagnosis.

3. Biopsy diagnosis is for patients with endometrial tuberculosis in the cervix, vagina, abdominal wall scars and other parts. Biopsy is taken from the local lesions for pathological diagnosis.

4. X-ray diagnosis: Pelvic pneumatic angiography alone, pelvic pneumatic angiography and hysterosalpingography with iodized oil and hysterosalpingography alone can be performed. Most patients with endometriosis have adhesions of the internal reproductive organs and adhesions with the intestinal flexures. Tuberculous endometrium is most likely to be implanted in the rectouterine pouch, so adhesions of the internal reproductive organs are likely to occur in the rectouterine pouch, making it shallower, especially more obvious in the lateral view of pelvic pneumatic angiography. The fallopian tubes and ovaries can form adhesion masses, which are more clearly shown in pneumatic films or in pneumatic angiography.

5. Laparotomy diagnosis is usually performed when an accurate judgment cannot be made after many diagnoses.

The above is the method for diagnosing endometrial tuberculosis. I believe everyone is clear about it. Gynecologists say that in order to make the diagnosis of endometrial tuberculosis more accurate, you must go to a professional and regular gynecological hospital when making the above diagnosis to avoid misdiagnosis and miss the best treatment time.