Post Date November, 16 2024
Endometrial tuberculosis is a disease that we should pay attention to, and its occurrence has a serious impact on women, especially after abnormal physical manifestations, we should immediately check and judge.
Symptoms of endometrial tuberculosis
1. Menstrual abnormalities: early endometrial congestion or ulcers, excessive menstruation, later endometrial damage, affecting endometrial function, sparse menstruation, amenorrhea.
2. Infertility: Endometrial tuberculosis lesions destroy the implantation and development environment of the fertilized egg. Tubal tuberculosis lesions make the fallopian tube impassable and sterile. Many patients with infertility come to the hospital for inspection and are finally diagnosed as endometrial tuberculosis.
3. Lower abdominal falling pain: often accompanied by pelvic tuberculosis, pelvic congestion, adhesions, abscesses, etc., causing lower abdominal pain.
4. Systemic symptoms: In severe cases, symptoms such as fatigue, night sweats, low fever, weight loss, and loss of appetite may occur.
Endometrial tuberculosis diagnosis
1. Individuals with a family history of tuberculosis, past contact with tuberculosis, or personal history of tuberculosis, pleurisy, and intestinal tuberculosis.
2. Infertility is accompanied by oligomenorrhea or amenorrhea, symptoms such as lower abdominal pain, or pelvic lumps.
3. Unmarried women, without a history of sexual contact, low fever, night sweats, lower abdominal pain and menstrual disorders, and hooligans with thickened pelvic appendages during anal examination should also consider this disease.
4. Chronic pelvic inflammation cannot be cured for a long time. Some scholars reported that 22 of the 52 patients with pelvic genital tuberculosis had a history of tuberculosis, accounting for only 42.3%. Therefore, those without a history of tuberculosis cannot rule out genital tuberculosis. Elderly gynecological patients should carefully ask for examination and rule out tuberculosis.
Endometrial tuberculosis examination
1. X-ray examination: hysterosalpingography, women with endometrial tuberculosis, posterior wall of uterus, uterosacral ligament, rectum and accessories and other tuberculosis lesions, the uterus is posterior, fixed to form mushroom or sun umbrella. The ovaries show cystic enlargement, with iodine oil remaining around the fimbriae. Obstruction of fallopian tube patency. Due to adhesions in the pelvic cavity, 24-hour X-ray examination showed that the iodine oil in the pelvic cavity was in small clumps, varying in thickness, and distributed in a snowflake like pattern.
2. B-ultrasound imaging examination: Currently, B-ultrasound imaging is an effective method for assisting in the diagnosis of endometrial tuberculosis. The ultrasound features used to observe ovarian endometrial tuberculosis cysts are: cystic masses are common, with blurry boundaries, sparse light spots inside, thick cystic fluid, and sometimes dense and thick light spots due to old blood clot thickening and organization. They are mixed masses; The mass is often located on the posterior side of the uterus in women, and the accompanying symptoms of cysts and uterus can be seen, with varying degrees of overlap between cyst images and uterine images; Cysts sometimes spontaneously rupture, and fluid accumulation can be seen in the posterior fossa. The inner cyst is smaller than before.
