How to check for fallopian tube tuberculosis? Diagnosis of Fallopian Tuberculosis

There are some things to note when checking for fallopian tube tuberculosis. Generally speaking, it is best to check the time between 3 and 7 days after menstruation, because the examination may cause certain damage to the endometrium. If the examination method is incorrect, other diseases will often develop.

Time for fallopian tube examination surgery

A fallopian tube examination usually only takes a few dozen minutes, as each patient's situation is different. Therefore, the time required for fallopian tube examination varies, generally 10-20 minutes. Of course, some women may take 30 minutes due to the fact that the uterine dilation is not very smooth during the process or the woman cannot adapt well.

1. Laboratory tests

The white blood cell count is not high, the lymphocytes increase, the erythrocyte sedimentation rate increases during the active phase, and the old tuberculin test is positive, indicating that the body has had lymphocytic tuberculosis infection. If it is strongly positive, it means that there are still active lesions.

If the result is negative, it indicates that there has never been tuberculosis infection. If conditions permit, abdominal effusion, vaginal membrane, menstrual blood, uterine cavity aspirate, endometrial scrapings, and cervical biopsy tissue can be collected for tuberculosis culture. The culture positivity rate is closely related to the time and number of examinations.

2. Chest, abdomen and pelvic X-ray

If necessary, gastrointestinal and urinary system examinations should be performed to detect the primary lesion. Gastrointestinal radiography is helpful in the diagnosis of tuberculous encapsulated cysts. Abdominal X-ray films, such as the discovery of isolated calcifications in the pelvis, indicate the presence of tuberculosis lesions.

If necessary, X-ray examination of the digestive tract or urinary system should be performed to detect the primary lesion. Pelvic X-rays may reveal isolated calcifications, suggesting the presence of pelvic lymph node tuberculosis lesions.

3. Hysterosalpingography

It can be seen that the fallopian tube lumen has multiple narrow parts, showing a typical beaded shape or showing that the lumen is small and rigid, which is equivalent to calcification foci in the fallopian tube. When the lesion involves the endometrium or other parts of the pelvic cavity, the uterine cavity can be seen to have changes in morphology, narrowing, and jagged edges, as well as calcification points in the pelvis, lymph nodes, ovaries and other parts. Anti-tuberculosis drugs such as streptomycin and isoniazid should be used before and after angiography.