How does the hospital treat endometrial tuberculosis?

How does the hospital treat endometrial tuberculosis? This is a question raised by many patients and friends. So we ask experts to tell you about the treatment methods of this disease here, hoping to bring you convenience. This disease is a common gynecological disease, and its treatment is very critical. Only by understanding its treatment methods can the disease be cured.

1. Anti-tuberculosis treatment

At present, anti-tuberculosis treatment adopts short-term combination drug therapy, which shortens the medication time, reduces the medication dosage, alleviates the toxic reactions of drugs, and is easier for patients to accept. When using the medication, it is necessary to pay attention to the fact that anti-tuberculosis drugs may cause toxic reactions in some patients, such as nerve damage, liver and kidney function damage (including jaundice), and make appropriate treatment according to the specific situation of the patient.

2. Surgery

(1) Indications for surgery ① The symptoms of tubo-ovarian abscess subsided after drug treatment, but the mass did not disappear, and the patient felt that the symptoms recurred. ② Patients with ineffective drug treatment and tuberculous abscesses. ③ Patients with large encapsulated effusions. ④ Patients with extensive endometrial destruction and ineffective anti-tuberculosis drug treatment. ⑤ Patients with tuberculous peritonitis and ascites. Surgical treatment combined with drug treatment is beneficial to the recovery of peritoneal tuberculosis.

(2) Surgical method: If the patient requests to preserve fertility, the uterus can be preserved if the endometrial tuberculosis lesions have healed. For patients whose fallopian tubes and ovaries have formed large masses and cannot be separated, hysterectomy can be performed.

(3) Scope of surgery The scope of surgery should be determined based on age and the extent of the lesion. Since most patients are women of childbearing age, when surgery is necessary, consideration should also be given to preserving the patient's ovarian function.

(4) Special circumstances: Adhesions caused by pelvic tuberculosis are often extremely extensive and dense, making surgical separation difficult. If forced, it may cause unnecessary damage. In such circumstances, the surgeon should stop the operation immediately and perform anti-tuberculosis treatment for 3 to 6 months after the operation. A second operation may be performed if necessary.