How to check for pelvic inflammatory disease

How to check for pelvic inflammatory disease?

Pelvic inflammatory disease is a very common gynecological disease, and more examinations are needed at this time. At this time, secretion examinations are needed, and vaginal secretions, cervical secretions, urethral secretions or peritoneal fluid are taken for examination. Pathogen culture, ultrasound examination, posterior vault puncture, laparoscopy and sexual partner examination are also required.

1. Examination of secretions: Pelvic inflammation requires direct examination of secretions. When sampling, vaginal secretions, cervical secretions, urethral secretions or peritoneal fluid can be taken for examination. At this time, a thin coating can be directly applied, and after drying, methylene blue or Gram staining can be performed. If Gram-negative diplococci appear in polymorphonuclear leukocytes, it indicates gonorrhea infection.

2. Pathogen culture: Pathogen culture is also done by taking secretions from the vagina, urethra or cervix. After taking it out, inoculate the culture base within 30 seconds, put it in a 35-degree Celsius incubator and culture it for 2 days for bacterial identification. This can also obtain other anaerobic and aerobic strains as the basis for antibiotic selection.

3. Ultrasound examination: Ultrasound examination is generally B-type or grayscale ultrasound scanning and photography, which has a high accuracy in identifying masses and abscesses adhered to the fallopian tubes, ovaries, and intestines. However, mild and moderate pelvic inflammation cannot be clearly seen through ultrasound examination.

4. Posterior dome puncture: Posterior dome puncture is very valuable and can obtain the contents of the abdominal cavity or rectouterine fossa, such as blood, purulent secretions, etc., which is of great significance for further diagnosis.

5. Laparoscopic examination: Laparoscopy can be performed in pelvic inflammatory disease or suspected pelvic inflammatory disease. It can clarify the diagnosis and differential diagnosis, and is of great significance for understanding the course of pelvic inflammatory disease.

6. Sex partner examination: Pelvic inflammatory disease also requires sexual partner examination, which is very helpful for the diagnosis of pelvic inflammatory disease. At this time, the urethral secretions of the sexual partner can be directly stained, and gonococci can also be cultured. If the result is positive, it can be used as evidence.