The main diagnostic basis for chronic pelvic inflammatory disease

Chronic pelvic inflammatory disease is often caused by long-term acute pelvic inflammatory disease that cannot be cured. It is often accompanied by many complications. There are many things to pay attention to in the diagnosis of chronic pelvic inflammatory disease. The periphery is mainly limited to the fallopian tubes, ovaries, and pelvic connective tissue. The diagnostic basis of these three types of chronic pelvic inflammatory disease is different.

1. Salpingitis: It is the most common type of pelvic inflammatory disease. The fallopian tube mucosa and stroma are destroyed by inflammation, causing the fallopian tube to thicken and become fibrotic and cord-like, or causing the ovary, fallopian tube and surrounding organs to adhere to each other, forming a hard and fixed mass, which can be used as a diagnostic basis for chronic pelvic inflammatory disease.

2. Hydrosalpinx and tubo-ovarian cysts: After inflammation of the fallopian tube, the fimbriae adhere and close, and the tube wall exudes serous fluid, which accumulates in the lumen and forms hydrosalpinx. Hydrosalpinx can also form after the pus of tubal pyosalpinx is absorbed. If the ovaries are also affected, tubo-ovarian cysts will form.

3. Chronic pelvic connective tissue inflammation: Inflammation spreads to the parauterine connective tissue and uterosacral ligament. The diagnostic criteria for this type of chronic pelvic inflammatory disease are mainly local tissue thickening, hardening, fanning outward to the pelvic wall, and the uterus is fixed or pulled to the affected side.

Chronic pelvic inflammatory disease can generally be diagnosed based on medical history, symptoms and signs, and sometimes needs to be differentiated from endometriosis, pelvic tuberculosis, ectopic pregnancy and ovarian tumors. If you have any questions about the diagnosis of chronic pelvic inflammatory disease, you can consult our online experts.