(one) the secretion direct smear sample may for the vagina, the cervix of the uterus tube secretion, either urethra secretion, either abdominal cavity fluid (after the dome, abdominal wall, either obtains after peritoneoscope), makes the direct thin layer smear, after dry, by methylene blue or leather blue dyeing. Every in the polymorphonuclear white blood cell saw that the leather blue negative diplococci, infects for gonorrhea. Because of cervix of the uterus tube gonococcus detection rate only then 67%, therefore the smear negative cannot be an exception gonorrhea to exist, but the masculine smear has the specificity very much. The blister chlamydia’s microscopic exam may use the fluorescein monoclonal antibody dye, every observes under the fluorescence microscope to a piece of astroid twinkle phosphor dot is a masculine gender. ?(two) pathogen raise The specimen originates with on, should immediately or in 30s its vaccination on the Thayer-Martin culture medium, sets 35? the thermostat to raise 48h, carries on the identification of bacteria by the sugar zymolysis. The new relatively fast chlamydia enzyme determination has replaced the traditional chlamydia examination method, also the available mammal cell culture carries on to the blister chlamydia antigen examination, this legal system enzyme joint immunity determination. The sensitivity is 89.5% equally, has 98.4% specificities.
? The bacteriology raise may also obtain other to need the oxygen and the anaerobic strain, and as choice antibiotic basis.
?(after three), after dome puncture, the dome puncture is gynecology department acute abdominal pains is most commonly used and diagnoses one of valuably methods. Through the puncture, the abdominal cavity content which or the womb rectum nest content obtains, like the normal abdominal cavity fluid, the blood (fresh, obsolete, congeal capillary and so on), the purulent secretion or the pus juice, may cause the diagnosis to further be clear, the puncture microscopic exam and the raise are necessities.
?(four) ultrasonic wave inspection Is mainly B or the gray scale ultrasonic scanning, absorbs the piece, this technology regarding the recognition Bao Kuai who or abscess from the oviduct, the ovary and the intestines adhesion forms together has 85% accuracies. But mild or the medium grade the pelvic inflammatory disease is very difficult in the B supersonic phantom to demonstrate the characteristic.
?(five) abdominal cavity microscopic exam If is not the proliferating peritonitis, the patient ordinary circumstances were still good, the abdominal cavity microscopic exam may executes at the pelvic inflammatory disease or the suspicious pelvic inflammatory disease as well as other acute abdominal pains patient, not only the abdominal cavity microscopic exam may be clear about the diagnosis and the differential diagnosis, but may also carry on the preliminary determination to pelvic inflammatory disease’s pathological change degree.
? (six) masculine companion’s inspection This is helpful to the feminine pelvic inflammatory disease’s diagnosis. May take urethra of secretion its masculine partner to make the direct smear to dye or the raise gonococcus, if discovers the masculine gender, is the powerful evidence, specially at symptomless or symptom light. Perhaps may discover that has many white blood cells. If gives the treatment to all PID patient’s masculine partner, no matter their whether there is urethritis symptom, to does reduce the recrudescence obviously has the significance.
