What tests are needed for fallopian tube tuberculosis

The diagnosis of fallopian tube tuberculosis requires a series of professional examinations, including imaging examinations, laboratory tests and pathological examinations. In terms of treatment, anti-tuberculosis drug treatment is the basis, and surgical treatment is required when necessary. Imaging examinations such as ultrasound, CT or MRI can help observe fallopian tube lesions. Laboratory tests include tuberculin tests, tuberculosis antibody tests and PCR tests. Pathological examinations are confirmed by obtaining tissues through biopsy or surgery.

1. Imaging examination is an important means of diagnosing fallopian tube tuberculosis. Ultrasound examination can observe the morphology of the fallopian tube and the surrounding tissues, while CT and MRI can more clearly show the scope and extent of the lesions. These examinations are non-invasive and easy to operate, and are the preferred methods for initial screening.

2. Laboratory tests include tuberculin test, tuberculosis antibody test and PCR test. The tuberculin test is to inject tuberculin intradermally and observe the skin reaction to determine whether the patient is infected with tuberculosis; the tuberculosis antibody test is to detect tuberculosis-specific antibodies in the blood; and the PCR test is to detect tuberculosis DNA through molecular biological methods, which has high sensitivity and specificity.

3. Pathological examination is the gold standard for diagnosing fallopian tube tuberculosis. The fallopian tube tissue is obtained through laparoscopy or laparotomy, and pathological examination is performed to observe whether there are tuberculous granulomas and caseous necrosis. Although pathological examination is an invasive operation, it can provide an accurate basis for diagnosis.

4. Anti-tuberculosis drug treatment is the basic treatment for fallopian tube tuberculosis. Commonly used drugs include isoniazid, rifampicin, pyrazinamide and ethambutol, which need to be used in combination for 6-9 months. Drug treatment should be carried out under the guidance of a doctor, and liver function and adverse drug reactions should be monitored regularly.

5. Surgical treatment is suitable for patients who are ineffective with drug treatment or whose condition is severe. Surgical methods include salpingectomy, salpingostomy and pelvic adhesion lysis. Surgical treatment can effectively remove lesions and improve reproductive function, but it needs to be combined with postoperative anti-tuberculosis treatment to prevent recurrence.

The diagnosis and treatment of fallopian tube tuberculosis requires a combination of multiple examination methods and treatment methods. Early diagnosis and standardized treatment are the key to improving cure rates and prognosis. After a clear diagnosis through imaging examinations, laboratory tests, and pathological examinations, the use of anti-tuberculosis drugs and necessary surgical treatment can effectively control the disease and improve the patient's quality of life.