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The best ways of hydrosalpinx are:1Tubal umbrella end ostomy.
Salpingostomy is suitable for patients with proximal tubal patency and distal hydrops and atresia, which is the traditional method. 2.Tubo-ovarian adhesion release.
Fallopian tube and ovarian adhesions are very common in patients with infertility and chronic pelvic pain. It is usually caused by infection, endometriosis, and previous surgery.
3.Tubal root excision, in addition, the effect of Li Xiaoping's traditional Chinese medicine ** is also very good.
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Salpingography and tubal recanalization have become one of the main methods for tubal obstructive infertility.
Tubal blockage in the interstitial and isthmus of the fallopian tubes: Trans-X-ray tubal intervention reversal should be the first option, and if the reversal fails, IVF** should be performed. Due to the fact that under normal circumstances, trans-X-ray tubal intervention reversal often has only one chance, so the treating doctor must have such a concept, that is, to do a good job in the details of each interventional link, in order to meet the patient's opportunity and desire to achieve natural conception to the greatest extent, so it is very important to improve your medical skills as a doctor.
Blocked ampullary tubes: IVF**.
Fallopian tube umbrella blockage: one is to do laparoscopic tubal umbrella ostomy or open tubal umbrella toma, and the other is to do IVF, with a success rate of 20% each.
Peritubal adhesions: It can cause dysfunction of tubal egg picking and egg transport, thus causing infertility. The main method is laparoscopic peritubal adhesion dissection.
Tubal tuberculosis: tubal reversal is prohibited due to tubal blockage**, and IVF can be performed if the endometrium is still good**.
Other ** methods of tubal blockage:
Tubal patency surgery: It can be performed after 3 days from the clean menstruation. 160,000 units of gentamicin, 2 ml of procaine, 5 mg of dexamethasone, and 5 mg of -chymotrypsin were dissolved in 20 ml of normal saline and injected into the uterine cavity through a tubal passage catheter.
1 time every other day, stop before ovulation**. Can be used for **2 to 3 menstrual cycles continuously. This ** is still used by most medical institutions, but the efficacy is poor and the false positive rate is high.
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Many women will be told that they have hydrosalpinx during routine examinations due to infertility, and they want to remove or ligate their fallopian tubes.
Why is it said that the first case of hydrosalpinx does not have to be removed or ligated in the fallopian tubes? This is because the degree of hydrosalpinx is also severant, if it is mild hydrosalpinx, it is found that only one side exists through hysterosalpingography, and the adhesion at the end of the fallopian tube umbrella is not serious, and there is no wrapping into a clump. On the other hand, excision or ligation of patients with mild hydrops is likely to injure the umbrella end of the fallopian tube and the ovaries, affecting the normal function of the umbrella ends and ovaries.
Hydrosalpinx**, depending on the severity of the hydrops. Mild hydrosalpinx, without umbrella end wrapped into a clump, can take Chinese medicine gynenitis pills to keep **. For patients with moderate or severe hydrosalpinx, if there are adhesions at the end of the umbrella and wrapping into a clump, or if the end of the fallopian tube and the ovary are adhered together, laparoscopic adhesion relaxation surgery can be performed, and the structure of the umbrella end can be restored well after the operation, and the eggs released from the ovaries can be picked up, and the pregnancy can be carried out naturally within six months after surgery.
If you still can't get pregnant after half a year of laparoscopic surgery, considering that the scar at the end of the fallopian tube umbrella is too large, you can do an excision, plastic surgery or flipping surgery at the end of the fallopian tube, that is, artificially remove the end of the fallopian tube, and then artificially create an umbrella end out. Of course, when treating the end of the umbrella, it is also necessary to release the stagnant water to avoid regurgitation into the uterine cavity.
Removal or ligation of the fallopian tubes is not performed as a last resort. Removal or ligation of the fallopian tubes is generally for patients with severe hydrosalpinx, and can not get pregnant after multiple surgeries, and finally can only take the road of IVF. Of course, IVF needs to have its own eggs, so the ovarian function must be intact.
When the fallopian tubes are removed or ligated under laparoscopy, it is necessary to pay attention to removing the pelvic adhesions and adhesions around the ovaries to ensure that the ovaries wrapped by the adhesions are separated, and the egg collection is convenient.
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Traditional Chinese medicine** Hydrops at the end of the bilateral fallopian tube has obvious advantages over Western medicine. Generally, at present, Western medicine ** bilateral fallopian tube umbrella hydrops only surgery, but the success rate is limited, if bilateral fallopian tube umbrella hydrops has reached a level of cell necrosis, after the operation to reshape and partially resect, but it is also difficult to restore the function of the fallopian tubes, Chinese medicine gynitis patent pills ** bilateral fallopian tube umbrella end hydrops effect is better, mainly to clear heat and detoxification, dampness, water dilution, pain, blood circulation and blood stasis, anti-inflammatory, taking into account the basic law of strengthening the foundation to ** hydrosalpinx. Good luck soon**!
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There are three main ways to treat a fallopian tube effusion. Clause.
1. Conservative**, if the patient has very little fallopian tube effusion, it is recommended that the patient can choose conservative**. The conservative methods mainly include oral medication**, enema physiotherapy or intrauterine injection. This method is very effective and is the best choice for patients who have a small amount of fluid and want to have children.
Clause. 2. Ultrasound-guided puncture is an option**. This condition is mainly suitable for the situation that there is a large amount of fluid and the patient has clinical symptoms such as pain and discomfort in the lower abdomen, but there is no desire to have children. However, it is particularly easy to do after puncture, so it is recommended that patients be adjudicated with conservative medications** after puncture, and the general cycle is 3-6 months.
Clause. 3. If the surgical patient has a fertility requirement, he or she can choose surgery**, such as laparoscopic surgery. If the effect of the operation is not good, the fallopian tubes can be ligated directly, and assisted reproductive technology can be carried out after the ligation.
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Under the premise of taking gynecology and inflammation, and then through some food conditioning, the effect will be better, usually to be light, eat more fresh vegetables and fruits, soy products, usually to increase the appropriate amount of exercise, especially after dinner, a walk is conducive to physical health, usually pay more attention to rest. Stay in a good mood.
Fallopian tube effusion is mainly formed after salpingitis, or due to adhesion atresia, the secretion of mucosal cells accumulates in the lumen, or due to the inflammation of the fallopian tubes, the isthmus and umbrella end adhesions, and the formation of salpinophesis after obstruction, when the pus cells in the lumen are absorbed, and finally forms hydrops.
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Western medicine**Hydrosalpinx, effusion, and empyema are usually surgical** and non-surgical**. (1) Non-surgical**1Antibiotics should be applied topically, either by lateral vault closure or intrauterine injection; 2.
Physiotherapy: It can promote blood circulation and facilitate the dissipation of inflammation, commonly used are ultra-short wave, diathermy electrotherapy, infrared irradiation, etc. (2) Surgery**1
Pyopyema or tubo-ovarian abscess is often prone to acute onset and is therefore appropriate for surgical excision. Surgery is usually performed after a few days of medication to control inflammation, regardless of whether the body temperature drops to normal. After the lesion is removed, the remaining inflammatory lesions are easily controlled, and the patient recovers quickly.
2.Chronic inflammation and other chronic inflammatory lesions of the fallopian tubes, the effect of non-surgical ** is not obvious, the clinical symptoms are serious, seriously affecting the patient's life and work, and the patient is over 40 years old can be given surgery**. Antibiotics are given before and after surgery.
Generally, it is administered 3 days before surgery and 5 to 7 days after surgery, depending on the specific situation. The surgery should be thorough, with total hysterectomy and bilateral salpingectomy for the best prognosis, and inflammation can be formed if part of the ovaries or uterus are spared. Therefore, non-surgical should be considered as much as possible in young patients**, and once surgery is decided, it should be thorough, otherwise the prognosis will be poor.
Tubal reversal surgery should be considered in young patients who are eager to have children and have blocked fallopian tubes but have not yet formed a mass. For patients with hydrosalpinx torsion, surgery should be given as soon as possible**, which can be seen in Western medicine** hydrosalpinx. The above is the best way to have a fallopian tube effusion?
Advice on this issue, I hope it will be helpful to you and I wish you good health!
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Oral medication for fallopian tube effusion alone is not very effective, and it needs to be combined with specific anti-inflammatory drugs of the fallopian tubes**, if the effect is still not ideal, surgery may be required. It is recommended to go to a regular infertility specialist hospital for a detailed examination, and do not miss the best time for the symptoms. **Avoid or reduce sexual intercourse during this period.
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Fallopian tube effusion is mostly due to chronic salpingitis umbrella end adhesion, due to bacterial virulence, lower bacterial upward infection, so that the lumen permeate is gradually retained in the fallopian tube, at present, salpingostomy is mainly used to do **, it is recommended to go to a professional and regular hospital combined with contrast examination**, under the guidance of a doctor to conceive.
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The use of gynectic herb can start from the patient's **, which can not only clear heat and detoxify, but also eliminate some potential bacteria and viruses in the fallopian tubes.
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Return to your normal routine first, and then go to the hospital to seek help from a doctor, the general lizard doctor can help you get this conditioned well, generally relying on drugs, and some internal surgeries can be conditioned, so don't worry too much, you can generally ** in the early stage.
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Hello, it is a pleasure to provide you with medical care, fallopian tube effusion is generally formed by chronic infiltration of tubal inflammation.
If it is not timely**, it will generally cause infertility due to adhesion and blockage. You can have tubal drainage. Or a salpingostomy.
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First of all, you need to know the severity of the condition, and then choose the appropriate plan according to the actual situation. Mild patients can take oral antibiotics and other drugs, and severe patients can choose the most suitable surgical plan for their condition.
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It is necessary to go to the hospital in time to do a full-body examination, using a fallopian tube umbrella end ostomy.
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How is hydrosalpinx** (below)?
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Traditional Chinese medicine formula one
Main symptoms: Women with fallopian tube effusion often have symptoms of abdominal pain, low back pain, and need to activate blood to relieve pain.
Traditional Chinese medicine formula: Salvia, Angelica Angelica, Red Peony, Red Vine, Gongying, Eucommia, Rhizome, Cnidium monnieri, Gallnut, Mulberry Cricket, Soybean Grass, etc.
Efficacy: Promote blood circulation and eliminate blood stasis, improve the pain and discomfort of patients with fallopian tube effusion.
Traditional Chinese medicine formula two
Main symptoms: Women with fallopian tube effusion often have irregular menstruation, dysmenorrhea, and the pain becomes worse the closer to menstruation.
Traditional Chinese medicine formula: Angelica sinensis, Codonopsis, Artemisia artemisia, Chuanxiong, Cinnamon Branch, Palelum, Zeland, Red Vine, Prunella, Cumin, Myrrh, etc.
Efficacy: Replenish blood and invigorate blood, regulate menstruation and relieve pain, can regulate menstrual irregularities, and improve the symptoms of dysmenorrhea in patients with fallopian tube effusion.
Traditional Chinese medicine formula three
Main symptoms: The main factor of fallopian tube effusion is inflammation and infection, and it is necessary to reduce inflammation and antibacterial.
Traditional Chinese medicine formula: honeysuckle vine, red vine, licorice, eucommia, cnidium monnieri, gallnut, gamon seed, mulberry cricket, angelica, cinnamon branch, poria cocos, angelica, five spirit fat, etc.
Efficacy: Clearing heat and detoxifying, anti-inflammatory and sterilizing, can eliminate fallopian tubes and other ** inflammation.
Traditional Chinese medicine focuses on the principle of dialectical combination, with the basic principles of clearing heat and detoxifying, diluting water and removing dampness, reducing inflammation and relieving pain, and promoting blood circulation and removing blood stasis, which can help improve the symptoms of patients with fallopian tube effusion. Each of the above TCM formulas has a different focus, and symptomatic medication can effectively improve the condition. But generally speaking, the use of traditional Chinese medicine ** hydrosalpinx is a process that requires patience, and the above medication also needs to be guided by a professional doctor, blind medication not only delays the condition, but also may harm the body!
If the degree of tubal effusion is severe, a more effective solution should be sought. At the same time, it has the effects of clearing heat and detoxifying, invigorating blood and removing blood stasis, strengthening the spleen and promoting dampness, etc., which is more suitable for ** fallopian tube effusion.
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If the fallopian tube effusion is not very serious, drugs can be used**, and if it is more severe, surgery can be used**, and the main methods are as follows:
1. Tubal umbrella end ostomy: Salpingostomy is suitable for patients with proximal tubal patency and distal hydrops and atresia, which is the traditional method.
2. Fallopian tube and ovarian adhesion release: the umbrella end of the fallopian tube is often wrapped, and the appendages can be wrapped in the uterorectal fossa in severe cases, and the intestinal tube is easily damaged during surgery, so special care should be taken.
3. Tubal root excision: Tubal root ligation to completely avoid hydrosalpinx entering the uterine cavity.
4. IVF: With the development of medical technology, the emergence of IVF as an assisted reproductive technology has provided more and more patients with the opportunity of infertility, which is very suitable for patients who are anxious to get pregnant and can get pregnant in a short time.
9-6-0 Hospital wishes you a speedy pregnancy!
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