What are the auxiliary examinations for acute adnexitis?

Acute adnexitis mostly occurs in women of childbearing age. The cause is mixed infection. The main pathogens are gonococci, Chlamydia trachomatis, Escherichia coli, Klebsiella, Proteus, aerobic streptococci, anaerobic bacteria, etc. Low body resistance, poor hygiene during menstruation or puerperium, gynecological surgery and operation, obstetric factors, family planning surgery, sexually transmitted diseases or the spread of inflammation in adjacent organs can all induce adnexitis.

Patients with acute adnexitis should receive timely treatment to prevent it from developing into a chronic disease, which increases the difficulty of treatment. Auxiliary examination methods include B-ultrasound, CT scan, and laparoscopy.

Auxiliary examinations for acute adnexitis

Ultrasound and CT examination: If the patient's abdominal muscles are severely tense and refuse to be pressed, and the pelvic examination is unsatisfactory, B-ultrasound or CT can be used for auxiliary diagnosis. The B-ultrasound echo properties of adnexal inflammatory masses can be summarized into three types: 1. Solid type, there may be an inhomogeneous solid mass next to the uterus, and the boundary of the mass is unclear. 2. Cyst type, when the mass has pus, it presents an irregular and inhomogeneous cystic mass. 3. Semi-cystic and semi-solid type, which is not very helpful for diagnosis in the early stage of acute or subacute infection. Color Doppler ultrasound examination can be used to show rich blood vessels, reticular or mass-like.

Laparoscopic examination: Video laparoscopy can be used to confirm the diagnosis and understand the extent and range of the patient's lesions.