Examinations that should not be ignored in patients with pelvic inflammatory disease

Pelvic inflammatory disease is a common disease among women. It is an inflammation of the pelvic reproductive organs, connective tissue around the uterus, and the pelvic peritoneum. Paying attention to relevant examinations of pelvic inflammatory disease is conducive to early detection and timely treatment of the disease.

1. Secretion smear examination

The sample can be vaginal, cervical or urethral secretions, or obtained through the posterior fornix, abdominal wall or laparoscopy. The specimen is smeared on the smear, dried and observed with methylene blue or Gram stain. If Gram-negative diplococci are seen in the polymorphonuclear leukocytes, it is a gonorrheal infection, and a positive smear is specific.

2. Ultrasound examination

Ultrasound scanning is helpful in correctly identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines, and can distinguish the nature of masses in the pelvic cavity. It is a non-destructive examination, simple to operate, and painless, with a reliability rate of over 90%.

3. Posterior fornix puncture

Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Purulent secretions or pus in the abdominal cavity are obtained through puncture, and further detailed examinations are performed, such as microscopic examination and culture of the punctured material.

4. Examination of male partners

Female patients with pelvic inflammatory disease should not neglect to examine their male partners. They can take urethral secretions from their male partners for direct smear staining or culture of gonorrhea. If the result is positive, timely treatment should be given, regardless of whether there are symptoms of urethritis.