How to timely detect the four characteristics of tuberculous discitis and pay attention to them

Tuberculous discitis is a gynecological disease that we should pay attention to, and its impact on women is also severe. The most direct impact is diarrhea, pain, and menstrual abnormalities, which require immediate examination and diagnosis.

Symptoms of tuberculous discitis

1. Lower abdominal pain: Due to local adhesions caused by tuberculous discitis, the patient's pain symptoms become more severe on a physiological day.

2. Tuberculosis: the symptoms of tuberculous pelvic inflammation can show the general symptoms of tuberculosis during activities, such as fever, night sweats, fatigue, loss of appetite, weight loss, and fever during menstruation.

3. Irregular menstruation: Irregular menstruation is a common symptom of tuberculous pelvic inflammatory disease, mainly caused by endometrial congestion or even ulcers. In the early stages of the disease, most patients have no specific symptoms, and most patients have been sick for a long time at the time of treatment, resulting in significant damage to the endometrium. Therefore, in clinical practice, menstrual irregularities caused by tuberculous pelvic inflammatory disease are more common in cases of sparse menstruation or amenorrhea.

4. Female infertility: Among patients with primary infertility, tuberculous cavity inflammation is the main cause. Tuberculous pelvic inflammatory traction of the fallopian tube, mucosal damage or adhesion, narrowing or blockage of the fallopian tube cavity, and serious consequences of infertility. The fallopian tube lumen is also partially smooth, with mucosal cilia destroyed, the fallopian tube stiff, peristalsis obstructed, and transportation function lost, which has a certain impact on natural pregnancy.

Examination of tuberculous discitis

1. X-ray examination:

(1) Chest X-ray photos, if necessary, undergo gastrointestinal and urinary system X-ray examinations to discover the primary disease.

(2) Examination of pelvic line plain film found isolated calcification points, suggesting pelvic lymph node tuberculosis lesions.

2. Uterine fallopian tube iodine oil imaging:

(1) The shape and degree of the uterine cavity are narrow or deformed, with serrated edges.

(2) The fallopian tube lumen has multiple narrow parts, which are typically beaded or show small and rigid lumens.

(3) There is a calcification furnace in the pelvic lymph nodes, fallopian tubes, and ovaries.

(4) If iodine oil enters the venous plexus on one or both sides of the uterus, the possibility of endometrial tuberculosis should be considered.

3. Endometrial pathological examination: Endometrial pathological examination is the most reliable basis for diagnosing endometrial tuberculosis. Curettage within one week before menstruation or 12 hours after menstruation. Three days before operation and four days after operation, 0.75g streptomycin was injected into muscle to prevent the spread of tuberculosis focus caused by curettage.