What are the clinical diagnoses of pelvic inflammatory disease?

Pelvic inflammatory disease is a gynecological disease characterized by pain in the lower abdomen or lower abdomen that is resistant to pressure or distension, which extends to the lumbar region, or is accompanied by fever and increased vaginal discharge. What are the diagnoses for pelvic inflammatory disease?

1. Typical clinical manifestations of diagnosis of pelvic inflammatory disease.

2. Physical signs: The uterus is often posteriorly located, with limited mobility or adhesions. If it is salpingitis, thickened fallopian tubes can be felt on one or both sides of the uterus, in a cord-like shape, with mild tenderness. If it is hydrosalpinx or tubo-ovarian cysts, cystic masses can be felt on one or both sides of the pelvic cavity, with limited mobility. If it is pelvic connective tissue inflammation, there is flake thickening and tenderness on one or both sides of the uterus, and the uterosacral ligaments are thickened, hardened, and tender.

3. Gynecological examination: The vagina and cervix are congested, with a large amount of purulent secretions, and the cervix is ​​painful when lifted. The uterus is tender and limited in movement. In case of salpingitis, the uterus may be thickened in a cord-like manner on one or both sides, with obvious tenderness. In case of connective tissue inflammation, the uterus may be thickened in a sheet-like manner on one or both sides, and the uterosacral ligament may be thickened, with obvious tenderness. When a pelvic abscess is formed, a cystic mass with unclear boundaries may be palpated, with tenderness.

4. Routine blood examination: white blood cells, 10x109/L, mainly increased neutrophils.

5. Ultrasound examination: shows exudation or inflammatory mass in the pelvic cavity.

Based on the above five points, pelvic inflammatory disease can be diagnosed. If pus is extracted by puncturing the posterior fornix, further confirmation can be made. Hospitals with conditions can perform blood, cervical secretion culture or pus culture to identify the pathogen and provide assistance for clinical diagnosis and treatment.

The above is an introduction to the diagnosis of pelvic inflammatory disease. Do you have a better understanding of the classification of infertility? If you have any questions, you can consult our experts online.

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