How to check for pelvic inflammatory disease

How to check for pelvic inflammatory disease?

The adverse symptoms of pelvic inflammatory disease can be detected by culture of the pathogen; it can be examined by direct smear of secretions; it can also be confirmed by ultrasonography; then, it can also be examined by posterior vault puncture; and it can be examined by laparoscopy.

Pathogen culture

The specimens are from the same source and should be inoculated immediately or within 30 seconds, incubated in a 35°C incubator for 48 hours, and bacterial identification is performed using glycolysis. A new relatively rapid chlamydial enzyme assay has replaced the traditional chlamydial detection method, which can also detect Chlamydia trachomatis antigens through mammalian cell culture, which is an enzyme-linked immunosorbent assay.

Direct smear of secretions

The sampling of this method can be vaginal secretions, cervical secretions, urethral secretions or peritoneal fluid, directly smearing a thin layer until these secretions dry, or Gram staining. Generally speaking, as long as Gram-negative diplococci occur in polymorphonuclear leukocytes, gonorrhea infection can be diagnosed.

Ultrasound examination

This method mainly uses B-mode or gray ultrasound scanning and photography. This technology usually has an accuracy of 85% for identifying masses or abscesses caused by fallopian tubes and ovaries, as well as intestinal adhesions. However, if it is mild or moderate pelvic inflammatory disease, it is often difficult to detect it through B-mode examination.

Posterior fornix puncture

This method is a common and effective diagnostic method for gynecological acute abdomen. Through the puncture technique, the contents of the patient's abdominal cavity or uterine rectal fossa, such as normal peritoneal fluid and blood, purulent secretions and pus, can be obtained to further clarify the diagnosis. At this time, it is even more necessary to perform microscopic examination and culture on the puncture material.

Laparoscopy

If the patient does not have adverse symptoms such as diffuse peritonitis, the patient is usually in good condition. Laparoscopy can be performed in patients with pelvic inflammation, or suspected pelvic inflammation and other acute abdomen. Laparoscopy can not only clarify the diagnosis and identify the diagnosis, but also make a preliminary judgment on the degree of pelvic inflammation.