What is the diagnosis of endometrial tuberculosis?

Endometrial tuberculosis often occurs after childbirth and can be acute or chronic. The main causes of endometrial tuberculosis are miscarriage, puerperal infection, placement of contraceptive devices in the uterine cavity, or infection of the cervix during other gynecological surgeries. The diagnosis of endometrial tuberculosis can be based on curettage and pathological examination. Let's ask the experts to introduce it.

Diagnostic curettage and dilation of endometrial tuberculosis

This diagnostic method can clarify the cause of the disease and eliminate malignant lesions. Tuberculosis should be controlled for three days before surgery, and antibiotics should be continued after surgery to eliminate tuberculosis. The operation should be gentle during the operation, because the infected uterine wall is fragile and prone to uterine perforation. The endometrium of senile endometrial tuberculosis is thin, so more care should be taken when scraping. Endometrial tuberculosis after abortion may have residual embryonic tissue, which should be carefully and comprehensively scraped, which often has a therapeutic effect at the same time.

Pathological examination

1. Macroscopic examination: endometrium is swollen and pale;

2. Microscopic examination: There are many plasma cells and lymphocytes infiltrating in the intimal stroma. It is worth mentioning that the presence of a large number of plasma cells is helpful for diagnosis.

Female friends can better treat their own diseases by understanding how to diagnose endometrial tuberculosis. Therefore, female friends should pay attention to understanding how to diagnose endometrial tuberculosis.