What are the tests for pelvic inflammatory disease?

What are the tests for pelvic inflammatory disease? Experts say: Pelvic inflammatory disease is a relatively stubborn disease. It is best to detect the disease as soon as possible and treat it as soon as possible. The examination of pelvic inflammatory disease is not difficult. Based on the medical history, symptoms and signs, a diagnosis can usually be made. Next, the experts will give you a detailed introduction to the tests for pelvic inflammatory disease.

1. Hydrosalpinx and tubo-ovarian cysts: After the fallopian tube becomes inflamed, the fimbriae become adhered and closed, and serous fluid oozes out of the tube wall and accumulates in the lumen to form hydrosalpinx. Hydrosalpinx can also form after the pus of tubal pyosalpinx is absorbed. If the ovaries are also affected, tubo-ovarian cysts will form.

2. Laparoscopy: If it is not diffuse peritonitis and the patient is in good general condition, laparoscopy can be performed on patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal diseases. Laparoscopy can not only confirm the diagnosis and differential diagnosis, but also make a preliminary judgment on the degree of pelvic inflammatory disease.

3. Chronic pelvic connective tissue inflammation: Inflammation spreads to the parauterine connective tissue and uterosacral ligaments. Local tissue thickens, hardens, and spreads outward in a fan shape to the pelvic wall. The uterus is fixed or pulled to the affected side.

4. Salpingitis: It is the most common type of pelvic inflammatory disease. The fallopian tube mucosa and interstitium are destroyed by inflammation, causing the fallopian tube to thicken and fibrose, becoming cord-like, or causing the ovaries, fallopian tubes and surrounding organs to adhere, forming a hard and fixed mass.

5. Ultrasound examination: mainly B-type or grayscale ultrasound scanning and filming. This technology has an 85% accuracy in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines, but mild or moderate pelvic inflammatory disease is difficult to show characteristics in B-type ultrasound images.

6. Posterior fornix puncture: Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Through puncture, the abdominal contents or uterine rectal fossa contents obtained, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, can further clarify the diagnosis. Microscopic examination and culture of the punctured material are even more necessary.

The above content is the expert's introduction on "What are the examinations for pelvic inflammatory disease". If you need to know more detailed information, please click to consult an expert online, and the expert will give you a detailed answer! According to experts, pelvic inflammatory disease is a relatively stubborn disease. It is best to detect the disease as soon as possible after becoming ill and to receive treatment as soon as possible.

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