What are the tests for pelvic inflammatory disease?

Pelvic inflammatory disease can occur in one or several places at the same time. It is a common gynecological disease in clinical practice. It is very harmful to female friends, so timely diagnosis and treatment are needed. So, what are the examination items for pelvic inflammatory disease? Let's take a look at it together.

Regarding the examination items for pelvic inflammatory disease, experts introduce the following:

1. Pathogen culture. Now the new relatively rapid chlamydia enzyme assay has replaced the traditional chlamydia detection method. Chlamydia antigen detection can also be performed using mammalian cell culture. This method is an enzyme-linked immunosorbent assay. The average sensitivity is 89.5% and the specificity is 98.4%.

2. Direct smear of secretions. The samples can be vaginal, cervical secretions, urethral secretions, or peritoneal fluid for direct thin-layer smear. After drying, it is stained with methylene blue or Gram. If Gram-negative diplococci are seen in polymorphonuclear leukocytes, it is gonorrhea infection. Because the detection rate of cervical gonorrhea is only 67%, a negative smear cannot exclude the presence of gonorrhea, while a positive smear is very specific.

3. Ultrasonic 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 intestinal tract, but mild or moderate pelvic inflammatory disease is difficult to show characteristics in B-type ultrasound images.

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

The above content is an introduction to the examination items for pelvic inflammatory disease. I hope it can be helpful to female friends. If you have other questions, please consult our online experts, who will answer you more professionally.

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