What is the diagnosis of chronic pelvic peritonitis?

What kind of examinations do patients with pelvic peritonitis need to do? With the development of society, people's living standards are constantly improving, and many people have begun to develop bad living habits, resulting in a series of diseases around us. Pelvic peritonitis is a common disease in daily life. The occurrence of this disease is still very harmful to patients, so it must be treated in time. In addition to active treatment, you should also go to the hospital for some daily examinations. So, what kind of examinations do patients with pelvic peritonitis need to do? The following editor will introduce to you.

Ultrasound examination

Mainly B-mode 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, mild or moderate pelvic peritonitis is difficult to show characteristics in B-mode ultrasound images.

Laparoscopy

If it is not diffuse peritonitis, the patient with pelvic peritonitis is generally in good condition. Laparoscopy can be performed on patients with pelvic peritonitis or suspected pelvic peritonitis and other acute abdomen. Laparoscopy can not only make a clear diagnosis and differential diagnosis, but also make a preliminary judgment on the degree of pelvic peritonitis.

Direct smear of secretions

The samples can be vaginal, cervical secretions, or urethral secretions, or peritoneal fluid (obtained through the posterior fornix, abdominal wall, or through laparoscopy), and direct thin-layer smears are made, which are then dried and stained with methylene blue or Gram. If Gram-negative diplococci are seen in polymorphonuclear leukocytes, it is a gonorrheal infection. Because the detection rate of cervical gonorrhea is low, a negative smear cannot exclude the presence of gonorrhea, while a positive smear is 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. It is one of the methods for examining pelvic peritonitis.

Pathogen culture

What tests are needed for patients with pelvic peritonitis? The specimens come from the same source 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 for bacterial identification. New relatively rapid chlamydial enzyme assays have replaced traditional chlamydia detection methods. Chlamydia trachomatis antigen detection can also be performed using mammalian cell culture. This method is an enzyme-linked immunosorbent assay. Bacteriological culture can also obtain other aerobic and anaerobic strains and serve as a basis for selecting antibiotics.

Posterior fornix puncture

Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Through puncture, the abdominal contents or uterine rectal fossa contents obtained, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, can further clarify the diagnosis, and microscopic examination and culture of the punctured material are even more necessary.