What tests are done to check for pelvic fluid

The pelvic cavity is a very important reproductive part of women. A woman's uterus, fallopian tubes, and ovaries are all located in the pelvic cavity. If there is an abnormality in this place, the impact can be imagined. Pelvic effusion is the most common pelvic disease manifestation. It can occur alone or may be a manifestation of other diseases. It is important to find out the cause as soon as possible. So, what tests should be done to check for pelvic fluid effusion? Let’s take a look below.

It is the primary method for checking pelvic fluid. When the amount of fluid accumulation is small, only a small anechoic area can be seen in the rectouterine pouch; when the amount of fluid accumulation is large, a wider anechoic area can be seen around the uterus and/or intestinal space. While discovering fluid accumulation, it can also identify masses or abscesses formed by adhesions of the fallopian tubes, ovaries and intestines with 85% accuracy.

2. Direct smear of secretions

It is a common method for diagnosing acute pelvic inflammatory disease. Samples can be taken from the vagina, cervical canal secretions, or urethral secretions for direct thin-layer smears, which are then dried and stained with methylene blue or Gram to detect gonococci. However, the detection rate of cervical canal gonococci is only 67%.

3. Laparoscopy

It can be used for the definitive diagnosis and differential diagnosis of pelvic effusion, and can also make a preliminary judgment on the extent of the lesion. Laparoscopy can be used to treat patients with pelvic inflammatory disease or suspected pelvic inflammatory disease and other acute abdominal diseases.

The secretions obtained by puncture of the cervical os and posterior fornix or laparoscopy are cultured for bacteria and subjected to drug sensitivity tests to identify the pathogenic bacteria and guide medication. The average sensitivity is 89.5%, with a specificity of 98.4%, and it is widely used in clinical practice.

5. Routine blood test, routine urine test, erythrocyte sedimentation rate

These examinations provide a basis for targeted treatment of acute pelvic inflammatory disease and can basically reduce the misdiagnosis rate of acute pelvic inflammatory disease to a minimum.

diagnosis

Pelvic effusion often occurs in lower parts of the pelvis, such as the rectouterine pouch. B-ultrasound is a commonly used and effective examination method in gynecology, which can accurately determine the amount of effusion.

Detailed medical history, symptoms and physical signs can be combined to determine whether it is normal or abnormal effusion. If abnormal effusion is confirmed, the cause of the effusion must be determined; etiological diagnosis is the key.

treat

Physiological pelvic effusion does not require special treatment, and a small amount of pelvic effusion can be absorbed on its own. If it is pelvic inflammatory disease or tumor effusion, the amount of fluid will be more than 100 ml, and targeted treatment is required according to the cause.

1. General treatment

Relieve patients' mental concerns, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.

2. Medication

If it is caused by inflammation, active anti-infection treatment should be given; if it is caused by a tumor, chemotherapy drugs should be used in combination with surgical treatment.

3. Surgery

Patients with lumps, hydrosalpinx or tubo-ovarian cysts can undergo surgical treatment; patients with small foci of infection and recurrent inflammation should also undergo laparoscopic exploration. The principle of surgery is to completely cure the disease and avoid leaving any residual lesions. For young women, ovarian function should be preserved as much as possible. The effect of single therapy on chronic pelvic inflammatory disease is poor, so comprehensive treatment is appropriate.