Differential diagnosis of endometrial tuberculosis

Gynecologists say that there are many causes of female infertility, one of which is endometrial tuberculosis. Therefore, early diagnosis and treatment can reduce the occurrence of harm. So what are the methods for diagnosing endometrial tuberculosis? Experts say that pneumoperitoneumography and hysterosalpingography are the main methods for diagnosing the disease. The specific content is introduced in detail below.

First of all, diagnosis through the patient's clinical signs is an indispensable aspect. Usually, when endometrial tuberculosis occurs, the patient will have a retroverted and fixed uterus, with or without tenderness, thickened adnexa or cystic masses, slightly thick walls, high tension, active or inactive, or no tenderness, scattered, multiple, unequal-sized nodules in the posterior fossa or uterosacral ligaments, with or without tenderness. Purple-blue spots or nodules are seen on the cervix, and sometimes polyp-like or cauliflower-like growths are seen. The above signs are aggravated before or during menstruation.

Hysterosalpingography is a common method for checking female infertility. It is also a reliable diagnostic measure for endometrial tuberculosis. Due to ectopic lesions on the posterior wall of the uterus, uterosacral ligaments, rectum and appendages, the uterus is retroverted and fixed to form a mushroom or parasol shape. The ovaries are cystic and enlarged, and iodized oil remains around the umbrella end. The fallopian tubes are often unobstructed or unobstructed. Due to adhesions in the pelvic cavity, 24-hour X-ray review shows that the iodized oil in the pelvic cavity is in the form of small lumps, of varying thickness, and distributed in a dotted snowflake pattern.

Pneumoperitoneumography: This examination measure is often used in clinical practice and has great reliable value. In endometriosis, pelvic masses are often bilateral, and the uterus and appendages often adhere to form a mass, forming irregular whitening shadows of varying density. The frontal film shows that the distance between the uterus and the rectum becomes smaller and whiter. The lateral film shows that the uterine rectal pouch becomes shallower and whiter. Double contrast is the best examination for pelvic endometriosis, because it can show the condition of the cervix and fallopian tubes, and can also reflect the condition of pelvic adhesions and ovarian masses.

The above introduces the diagnostic method of endometrial tuberculosis. Gynecologists say that the above diagnosis requires an experienced doctor to do it, so you must go to a professional and regular gynecological hospital to ensure the accuracy of the examination. Never go to a private hospital. Not only are the charges high, but the doctors also do not have rich clinical experience.