How to diagnose endometrial tuberculosis

Endometrial tuberculosis is a type of gynecological disease. This disease poses a great threat to girls' health. Female friends need to understand this disease in their lives so that they can discover it in time when it occurs. Next, let us let the experts introduce in detail how to diagnose endometrial tuberculosis after it occurs.

1. Laboratory diagnosis

(1) CA125 (ovarian cancer-associated antigen) value determination is a tumor-associated antigen with certain diagnostic value for ovarian epithelial cancer. However, in patients with endometrial tuberculosis, the CA125 value may increase, and the positive rate increases with the increase in the stage of endometrial tuberculosis. Its sensitivity and specificity are very high, so it is helpful for the diagnosis of endometrial tuberculosis and can also monitor the efficacy of endometrial tuberculosis treatment.

(2) Anti-endometrial antibodies (EMAb) Anti-endometrial antibodies are autoantibodies that use the endometrium as a target antigen and induce a series of immunopathological reactions. They are the hallmark antibodies of endometrial tuberculosis. The detection of serum EMAb is an effective diagnostic method for the diagnosis of endometrial tuberculosis patients and the observation of therapeutic effects.

2. Imaging diagnosis

(1) B-mode ultrasound diagnosis B-mode ultrasound diagnosis is one of the commonly used diagnostic methods in obstetrics and gynecology, and plays an important role in the diagnosis of obstetrics and gynecology diseases. It can determine the location, size, and shape of cysts and detect masses that are not palpable during gynecological diagnosis.

(2) Laparoscopic diagnosis: Laparoscopic pelvic examination is used to directly observe the pelvic cavity, and tuberculosis lesions can be seen or biopsied to confirm the diagnosis. The clinical staging and treatment plan of pelvic endometrial tuberculosis can be determined based on the results of the laparoscopic examination. Under laparoscopy, attention should be paid to observing whether there are endometrial tuberculosis lesions in the uterus, fallopian tubes, ovaries, uterosacral ligaments, pelvic peritoneum, etc. Endometrial tuberculosis is staged and scored based on the laparoscopic diagnosis or surgical findings.

(3) X-ray diagnosis can be performed using pelvic pneumatic angiography and hysterosalpingography to assist in the diagnosis of pelvic endometrial tuberculosis.

(4) Magnetic resonance imaging (MRI) MRI can directly image in multiple planes, intuitively understand the scope, origin and invaded structure of the lesion, accurately locate the lesion, and enhance the ability to display soft tissue. Therefore, MRI is of great value in diagnosing endometrial tuberculosis and understanding pelvic lesions and adhesions.

Warm reminder: female friends should seek timely treatment after they develop endometrial tuberculosis. Our experts have introduced the location of this type of endometrial tuberculosis in the article. You can learn about the common sense given by the experts. Female friends should also pay attention to their personal hygiene in life. At the same time, they must ensure cleanliness during some sexual activities, so as to prevent endometrial tuberculosis.