The diagnosis of chronic pelvic inflammatory disease
The diagnosis of chronic pelvic inflammatory disease is not difficult, according to medical history, symptoms and signs, in general you can make a diagnosis. However, sometimes the need with endometriosis, pelvic tuberculosis, ectopic pregnancy and ovarian tumors phase identification.
Main symptoms: lumbosacral pain or lower abdominal pain, or prolonged standing, fatigue, sexual intercourse, or pre-emphasis, in serious cases affecting work. Or Leucorrhea increased, menstrual disorders, dysmenorrhea by more than blood, sexy unpleasant; tubal obstruction, infertility and so on. The course of time or physical weakness, mental stress, often associated with neurasthenia.
Main signs: the uterus over backward, limited mobility or adhesion fixed; or tubal thickening tenderness; or touched cystic mass; or uterine tenderness adjacent to sheet thickness and so on.
The major areas of pelvic inflammatory disease confined to the fallopian tubes, ovaries, and pelvic connective tissue commonly has the following types:
1, salpingitis: It is the most common pelvic inflammatory disease. Tubal mucosa with interstitial inflammation due to damage to fallopian tube thickening, fibrosis, and showed cord-like, or turn to the ovaries, fallopian tubes and the surrounding organs of adhesion, the formation of quality hard and fixed mass.
Second, Hydrosalpinx and tubal ovarian cysts: tubal inflammation, the umbrella-side adhesion atresia, the wall exudative serous fluid retention in the lumen formation of slip hydrosalpinx. Ariake pyosalpinx the pus absorbed, but also the formation of hydrosalpinx. If both ovaries are formed involving tubal ovarian cysts.
3, chronic pelvic inflammation of connective tissue: inflammation of connective tissue and spread to the uterus Gongpang most common sacral ligament. Local tissue thickening, hardening, spread out fan-shaped direct Penbi, uterus stationary or pull to the affected side.
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