Post Date November, 17 2024
The emergence of tubal tuberculosis has caused great distress to many patients. It is a disease that we should pay attention to. After abnormal manifestations occur, we must promptly check and diagnose it, and also pay attention to reasonable treatment.
Symptoms of fallopian tube tuberculosis
1. Infertility: primary symptom
2. Menstrual disorders: The duration and severity of the disease are related to abnormal menstrual conditions.
3. Lower abdominal pain: varying degrees of abdominal pain accompanied by fever.
4. Fever: During menstruation, fever occurs and returns to normal after menstruation.
5. Systemic symptoms: night sweats, fatigue, severe weight loss, etc.
Diagnostic criteria for tubal tuberculosis
1. Primary infertility with sparse or amenorrhea menstruation.
2. Low fever, night sweats, pelvic inflammatory disease, or ascites
3. Chronic pelvic inflammatory disease remains untreated for a long time.
4. Have a history of tuberculosis exposure or pulmonary tuberculosis, intestinal tuberculosis, etc.
5. Physical examination: The lower abdomen is soft, with tenderness, and the fallopian tubes on both sides become thicker, harder, and cord like. It comes into contact with cystic masses and often adheres to the uterus, indicating fluid accumulation.
6. Pathological examination of the endometrium: Diagnosis can be made by performing diagnostic curettage 2-3 days before menstruation and discovering typical pathological manifestations.
7. The hysterosalpingography showed a typical bead like appearance of the fallopian tubes, with narrow and rigid lumens.
8. A hollow puncture in the posterior fornix of the vagina is a grass yellow exudate, and tuberculosis can be diagnosed by smear or culture.
Treatment of fallopian tube tuberculosis
1. Chemotherapy:
(1) General treatment: Strengthen nutrition, pay attention to rest, and increase the body's resistance.
(2) Anti tuberculosis treatment: This method should be used especially for young patients. The selection and use of anti-tuberculosis drugs are the same as those for pulmonary tuberculosis, but due to the numerous wrinkles in the fallopian tube mucosa, it is difficult to eliminate tuberculosis. Therefore, the course of treatment should be appropriately extended, preferably from 9 months to 1 year. The principles of anti-tuberculosis treatment drugs include early, regular, full process, moderate dosage, and combination use.
2. Surgical treatment: It is advisable to perform bilateral appendectomy and total hysterectomy to preserve ovarian function for young women. When there is no cheese like necrosis and abscess during ovarian dissection, it can be considered to preserve the ovaries. Genital tuberculosis has extensive and dense adhesions. Before surgery, oral intestinal disinfectant and clean enema should be taken. In order to avoid the spread of infection and the reduction of adhesion during surgery, anti tuberculosis drugs should be used for 1-2 months before surgery. After surgery, depending on the activity of tuberculosis and whether the lesion is clean, anti tuberculosis drugs should be continued for about 1 month to completely cure.
