What are the examination methods for acute pelvic inflammatory disease?

What are the examination methods for acute pelvic inflammatory disease? What are the examination methods for acute pelvic inflammatory disease? Let us learn about the examination methods for acute pelvic inflammatory disease.

(1) 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. However, it is difficult for mild or moderate pelvic inflammatory disease to show characteristics in B-type ultrasound images. It is the most common means of examining acute pelvic inflammatory disease.

(2) Examination of male partners This is helpful for the diagnosis of female pelvic inflammatory disease. The urethral secretions of the male partner can be directly smeared or cultured for gonorrhea. If positive, it is strong evidence, especially in patients with no symptoms or mild symptoms. Or more white blood cells can be found. If all male partners of PID patients are treated, regardless of whether they have symptoms of urethritis, it is obviously very meaningful to reduce recurrence.

(3) Direct smear sampling of secretions can be vaginal, endocervical, urethral, ​​or peritoneal fluid. Direct thin-layer smears are made and then dried and stained with methylene blue or Gram stain. If Gram-negative diplococci are seen in polymorphonuclear leukocytes, it is gonorrhea infection. Because the detection rate of endocervical gonorrhea is only 67%, a negative smear cannot exclude the presence of gonorrhea, while a positive smear is very specific. Fluorescein monoclonal antibody dye can be used for microscopic examination of Chlamydia trachomatis. If a star-shaped flashing fluorescent spot is observed under a fluorescence microscope, it is positive.

(4) Posterior fornix puncture Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Through puncture, the contents of the abdominal cavity or the uterine rectal fossa, 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. It is also a means of examining acute pelvic inflammatory disease.

(5) If the patient is not suffering from diffuse peritonitis and is in good general condition, laparoscopy can be performed on patients with pelvic inflammatory disease, suspected pelvic inflammatory disease, or other acute abdominal diseases. Laparoscopy can not only confirm the diagnosis and differential diagnosis, but also make a preliminary assessment of the severity of pelvic inflammatory disease.

(6) The source of pathogen culture specimens is the same as above. They should be inoculated on Thayer-Martin medium immediately or within 30 seconds, and cultured in a 35°C incubator for 48 hours to identify bacteria by glycolysis. The new relatively rapid chlamydial enzyme assay has replaced the traditional chlamydia detection method. Chlamydia trachomatis antigen detection can also be performed using mammalian cell culture. This method is an enzyme-linked immunosorbent assay. The average sensitivity is 89.5%, with a specificity of 98.4%. Bacteriological culture can also obtain other aerobic and anaerobic strains and serve as a basis for selecting antibiotics. This is a rare examination method for acute pelvic inflammatory disease.

Do you understand the examination methods for acute pelvic inflammatory disease that we introduced above? When you find that you have acute pelvic inflammatory disease, you must remember these examination methods for acute pelvic inflammatory disease and go to the hospital for treatment. If you want to know more about the examination methods for acute pelvic inflammatory disease, please consult our online experts, who will give you more suggestions and opinions on the examination methods for acute pelvic inflammatory disease.

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