Professional treatment of endometrial tuberculosis starts with correct diagnosis

Endometrial tuberculosis is a common gynecological disease in our daily life. For many patients with the disease, we need to understand the characteristics of the disease, because it will be of great help in treating their own diseases. We hope that what our experts introduce below can help our patients and friends.

(1) Hysterosalpingography: Due to tuberculous lesions on the posterior wall of the uterus, uterosacral ligaments, rectum and appendages, the uterus is retroverted and fixed to form a mushroom or parasol shape. The ovaries are cystic and enlarged, with iodized oil residue around the umbrella tip. The fallopian tubes are often unobstructed or unobstructed. 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 dot-like snowflake distribution.

(2) Pneumoperitoneotomy: In endometriosis, pelvic masses are often bilateral, and the uterus and appendages often adhere to each other, forming irregular whitening shadows with varying densities. The frontal view shows that the distance between the uterus and the rectum becomes smaller and whiter. The lateral view shows that the uterine rectal pouch becomes shallower and whiter. Double contrast is the best way to examine pelvic endometrial tuberculosis, because it can show the condition of the cervix and fallopian tubes, and can also reflect the condition of pelvic adhesions and ovarian masses.

I hope that this knowledge can be of great help to our patients and friends. Don’t wait until your disease becomes serious before seeking treatment, as this will cause unnecessary consequences.