What tests should women with pelvic inflammatory disease take?

Pelvic inflammatory disease is the most common gynecological disease. The early symptoms of pelvic inflammatory disease are not obvious, but the condition will worsen over time, so it is necessary to do preventive examinations. The following experts will introduce the examination items for pelvic inflammatory disease .

1. The first examination item for pelvic inflammatory disease is direct smear sampling of secretions: such as vaginal mucus, cervical canal secretions, urethral secretions, peritoneal fluid, etc. can be directly used for thin layer smears, and then stained with methylene blue or Gram after drying, and then the disease can be identified based on whether it is negative or positive.

2. Pathogen culture: The source of specimens for this type of pelvic inflammatory disease examination is the same as the sampling for secretion testing, but the difference is that this method uses glycolysis for bacterial identification. This method is an enzyme-linked immunosorbent assay with an average sensitivity of 89.5% and a specificity of 98.4%.

3. Laparoscopic examination: If the patient does not suffer from diffuse peritonitis, laparoscopy can be performed on patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal patients. Laparoscopy can not only make a clear diagnosis and differential diagnosis, but also make a preliminary judgment on the degree of pelvic inflammatory disease.

4. Ultrasound examination: This pelvic inflammatory disease examination has an 85% accuracy rate in identifying masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines. It mainly includes B-type or grayscale ultrasound scanning, radiography, etc. However, it is difficult for mild or moderate pelvic inflammatory disease to show characteristics in B-type ultrasound images.

5. Posterior fornix puncture: This pelvic inflammatory disease examination item is one of the most commonly used and most valuable diagnostic methods for gynecological acute abdomen. The puncture examination can clearly observe the contents of the abdominal cavity or the rectouterine fossa, such as normal peritoneal fluid, blood (fresh, old, clotted blood, etc.), purulent secretions or pus, which can further clarify the diagnosis. Microscopic examination and culture of the punctured material are even more necessary.

The above content is the examination items for pelvic inflammatory disease introduced by experts. Please pay attention to it. I hope the above content can be helpful to you. If you have other questions about the examination items for pelvic inflammatory disease, please consult the online experts and they will give you detailed answers.

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