This disease is easy to occur when there are many bacteria, strong virulence or decreased body resistance. According to the different types of pathogenic bacteria, acute salpingitis can be divided into two categories: one is specific gonococcal infection, which spreads along cervical mucosa and endometrium to tubal mucosa; The other is nonspecific suppurative bacterial infection, in which bacteria enter the connective tissue beside the uterus through lymphatic vessels and blood vessels from the endometrium, eventually leading to inflammation around the fallopian tubes and salpingitis. If acute salpingitis develops further, it can lead to acute pelvic peritonitis and acute peritonitis.
symptom
Mild people have no symptoms or mild symptoms. The common symptoms are lower abdominal pain, fever and increased vaginal discharge. Abdominal pain after sexual intercourse is persistent, active or aggravated. If the condition is serious, there may be systemic symptoms such as chills, high fever, headache and loss of appetite. If accompanied by peritonitis, there may be digestive tract symptoms. If there is abscess formation, there may be lower abdominal mass and local compression and irritation symptoms; If the mass is located in front of the uterus, bladder irritation symptoms may occur, such as dysuria and frequent urination, and dysuria may occur if bladder myositis is caused. Rectal irritation occurs only when the mass is located behind the uterus. Perihepatic inflammation should be suspected if symptoms and signs of salpingitis and right epigastric pain occur at the same time.
treat cordially
1, general treatment: bed rest, semi-recumbent position is convenient for locating inflammation and preventing upward spread. Pay attention to supplement nutrition, maintain the balance of water and electrolyte, and use antipyretic and analgesic drugs appropriately after diagnosis.
2. Control infection: According to pathogenic microorganisms and drug sensitivity tests, select effective antibiotics as appropriate as possible, with sufficient dosage and complete and effective anti-inflammation.
3. Surgical treatment: For patients with salpingitis, the focus should be surgically removed immediately to prevent the inflammation from rapidly spreading into septicemia and endangering their lives. If the pelvic abscess is limited, the posterior vault can touch the filling fluctuation, and it is feasible to cut and drain the pus.
4. TCM treatment: TCM believes that tubal nowhere is mainly caused by phlegm-dampness and blood stasis, qi deficiency and blood stasis, kidney deficiency and blood stasis, dampness and blood stasis, qi stagnation and blood stasis, cold and dampness and blood stasis. Therefore, the treatment should be based on the basic principles of diminishing inflammation and relieving pain, promoting blood circulation and removing blood stasis, and tonifying qi and blood, and comprehensively regulate the internal circulation, so as to effectively improve the female tubal disease. Detailed+
Etiology of tubal pregnancy
It is related to tubal inflammation, tubal dysplasia or malformation, tubal endometriosis, pelvic tumor compression or traction, birth control measures, ectopic pregnancy and chlamydia infection.
symptom
Abdominal pain, amenorrhea, irregular vaginal bleeding, syncope and shock, and often have a history of primary or secondary infertility.
treat cordially
Surgery has always been the main method to treat tubal pregnancy. In recent 10 years, due to the development of β-hCG high-sensitivity radioimmunoassay, high-resolution B-ultrasound and laparoscopy, the early diagnosis rate of ectopic pregnancy has been significantly improved, and conservative surgery and drug treatment are generally used in clinic. Detailed+
Tubal infertility
The cause of disease
Tubal effusion, salpingitis, tubal obstruction and other diseases.
symptom
Physical examination found carbuncle in the lower abdomen. Shuanghe town saw that the uterus was backward, with poor mobility and even complete fixation. There is pain when moving the cervix or the official body, and there is carbuncle on the official side, such as a rented oviduct or a lump. Hydrosalpingitis can touch cystic tumor, and it can move without tenderness.
treat cordially
Microsurgery is one of the methods to treat infertility caused by fallopian tube factors. It is often used for tubal anastomosis in patients who need to give birth again after tubal ligation or who are infertile due to tubal obstruction caused by inflammation. During the operation, the scar tissue or inflammatory obstruction after ligation was removed, and the two broken ends were sutured together to achieve tubal patency. For patients with interstitial tubal obstruction, tubal implantation is performed at the uterine horn, that is, the obstructed part of the fallopian tube is removed, a conical incision is made at the uterine horn, and the unobstructed part of the fallopian tube is implanted into the uterine cavity; For patients with adhesion around the distal fallopian tube, adhesion separation should be carried out when conservative treatment fails. During the operation, attention should be paid to avoid damaging the blood vessels around the umbrella tip and the serosa layer of fallopian tube, so as to prevent the re-adhesion of surrounding tissues and tubal stenosis. Only salpingostomy and salpingoplasty can be performed when the tissues at the distal end of the fallopian tube are completely glued and interlocked or the nodules formed by effusion cannot be separated.
Etiology of tubal tumor
The reasons for it were not known 70% of patients have chronic salpingitis, 50% have a history of infertility, and the contralateral fallopian tube of patients with unilateral salpingoma has inflammatory changes through pathological examination. It is concluded that chronic inflammatory stimulation may be the cause of the disease. Chronic salpingitis is very common, but tubal cancer is rare, and inflammation is not the only cause.
symptom
Leucorrhea, vaginal bleeding, abdominal pain, lower abdominal mass, etc.
treat cordially
The principle of treatment is a comprehensive treatment with surgery as the main treatment, supplemented by chemotherapy and radiotherapy, emphasizing the thoroughness of the first treatment. Detailed+
Etiology of tubal tuberculosis.
Internal genital tuberculosis is usually considered as a secondary infection. After the pelvic organ is involved, the lesion can directly spread to the adjacent organs, first invading the fallopian tube. The structure of oviduct mucosa is beneficial to the latent of Mycobacterium tuberculosis, which can lurk locally for 1 ~ 10 years or even longer. Once the body's immunity is low, it can be reactivated and get sick.
symptom
Most women of childbearing age in tubal tuberculosis are infertile, with mild lower abdominal pain and poor general condition, such as low fever, emaciation and fatigue. Menstrual disorder is a common symptom. Early due to endometrial congestion, ulcers, increased menstrual flow or prolonged menstrual period. When the lesion involves the endometrium, there will be rare menstruation or even amenorrhea. Some patients may have increased vaginal discharge. If accompanied by peritoneal tuberculosis, abdominal examination may have a kneading feeling; If there is ascites, you can knock out the moving voiced sound. If there is localized ascites, you can touch the cystic mass.
treat cordially
1. Anti-tuberculosis treatment: This is one of the most common treatment methods. Because tubal tuberculosis was caused by tuberculosis infection, anti-tuberculosis treatment was always chosen at the beginning. Because there are many mucosal folds in the fallopian tube, some tuberculosis bacteria are difficult to be eliminated, so the course of treatment is relatively long. This treatment is more suitable for young patients.
2, general therapy: In the course of treatment, patients should pay attention to their own physical care, achieve a balanced diet, exercise more, pay attention to rest and sleep, and enhance physical fitness is also useful for fighting tuberculosis.
3. Combination of traditional Chinese and western medicine: Clinically, doctors will advise patients to adopt the method of combination of traditional Chinese and western medicine. They can take Chinese medicine orally to regulate patients' body and improve their immunity. At the same time, the combination of western medicine surgery and interventional therapy has a good therapeutic effect. Detailed+
Etiology of tubal prolapse
The most common causes of tubal prolapse are infection and hematoma, and the related factors are the opening of vaginal stump or the placement of drainage tube and strip.
symptom
The most common symptoms are vaginal discharge, contact bleeding, difficulty in sexual intercourse and lower abdominal pain. When doing gynecological examination, polypoid red vegetation will appear on the vaginal stump, and abdominal pain will appear when palpating and pulling the vegetation.
treat cordially
The most commonly used method is ligation from high position of vagina, removal of prolapsed fallopian tube and suture of vaginal stump. Peritoneal vaginal fistula can heal itself.
Etiology of tubal dysplasia
It is mainly caused by hydrosalpinx, tubal obstruction, tuberculous salpingitis, suppurative salpingitis and gonococcal salpingitis.
treat cordially
For infertility caused by abnormal fallopian tubes, tubal plastic surgery was performed under laparoscopy or laparotomy. Tubal pregnancy rupture or abortion should be carefully examined during operation, and the repairable tubal malformation can not be easily removed. Microsurgical technique should be used to repair fallopian tube to preserve its function. Detailed+
Etiology of tubal adhesions
The pathogenesis is unclear, which may be caused by chronic infection. Tubal fluid and inflammatory exudate accumulate in ampulla. The isthmus has a thick wall and a narrow cavity. If adhesion and blockage occur again, it is difficult to drain and absorb the effusion in the tube, forming cystic effusion, and there is no adhesion or slight adhesion with adjacent tissues.
symptom
Infertility, pain, irregular menstruation, low fever, hirsutism, obesity, etc.
treat cordially
Traditional Chinese medicine believes that tubal obstruction is mainly caused by phlegm-dampness and blood stasis, qi deficiency and blood stasis, kidney deficiency and blood stasis, wet blood stasis, cold-dampness and blood stasis. Therefore, the treatment should be based on the basic principles of diminishing inflammation and relieving pain, promoting blood circulation and removing blood stasis, and invigorating qi and blood, so as to comprehensively regulate the internal circulation and effectively improve the symptoms of female tubal obstruction. Detailed+
Etiology of hydrosalpinx
The main causes of hydrosalpinx are abortion, unclean sexual intercourse and pelvic infection. Women after childbirth, abortion and menstruation are more likely to suffer from hydrosalpinx than other people.
symptom
Common symptoms include increased leucorrhea, lumbosacral pain and abdominal pain. In severe cases, symptoms of fever may appear.
treat cordially
1, conservative treatment: including comprehensive treatment, but the effect is uncertain and individual differences are great.
2. Surgical treatment: Different methods can be adopted according to the patient's condition.
3. Assisted pregnancy treatment: artificial insemination, IVF technology, people who are still difficult to get pregnant after conservative treatment or surgical treatment, or patients who are older, or men with abnormal sperm quality. Detailed+