How to identify and diagnose pelvic inflammatory disease?

Pelvic inflammatory disease is a common gynecological disease that many women suffer from. Because acute pelvic inflammatory disease is not treated in time, it becomes chronic pelvic inflammatory disease. So, how to diagnose and identify pelvic inflammatory disease? Let's ask relevant experts to introduce the diagnostic and differential criteria of pelvic inflammatory disease.

Regarding the diagnostic and differential criteria for pelvic inflammatory disease, experts introduce them as follows:

1. Diagnostic criteria

Diagnosis can usually be made based on medical history, symptoms and physical signs. In addition, some necessary tests are required, such as routine blood and urine tests, erythrocyte sedimentation rate, cervical secretion culture and drug sensitivity tests. When the body temperature is as high as 39°C or above, blood culture and drug sensitivity tests are performed, combined with B-ultrasound and CT examinations, and posterior fornix puncture is performed when necessary. If pus is drawn out, the diagnosis can be confirmed.

(II) Differential diagnosis

1. Pelvic connective tissue inflammation: It needs to be differentiated from pyosalpinx and tubo-ovarian abscess; broad ligament tumors, advanced cervical cancer, etc.

2. Pelvic peritonitis: It needs to be differentiated from acute appendicitis perforation or intestinal perforation, ovarian tumor pedicle torsion or rupture, ectopic pregnancy rupture, tuberculous peritonitis, ovarian malignant tumor, etc.

3. Pelvic abscess: needs to be differentiated from pelvic hemorrhage, appendiceal abscess, etc.

The above are the diagnostic and differential criteria for pelvic inflammatory disease introduced to us by experts. Do you understand? If you still have any questions, you can contact our online experts at any time, and the experts will answer you more professionally.

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