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Hello, the causes of hydrosalpinx are:
1. Chronic salpingitis: the umbrella end of the fallopian tube will cause adhesion and atresia due to inflammation, and the exudate and exudate in the lumen of the fallopian tube will slowly converge. This is the main cause of the formation of hydrosalpinx.
2. Hydrosalpinx: It generally refers to the removal of swallowed cells after the decomposition of pus cells and necrotic tissues in the original lumen, and the pus gradually turns into clear watery fluid, causing hydrosalpinx.
3. Caused by surgery: Hydrosalpinx will occur if the operation is not carried out carelessly. Sometimes female friends bleed during surgery to form a blood crust wrap, or the lining of the fallopian tube lumen was damaged during the operation, and some hospitals do not strictly disinfect the treatment, which can also cause hydrosalpinx.
Experts recommend the use of conservative, conservative ** safe and reliable and quick effect, you can use the relaxation tube to help the pregnancy decoction of the internal administration, no need to use the knife, the medicinal force circulates the whole body, the channels are channeled, the blood can be invigorated, the stasis can be broken, the adhesion pipe can be dredged, and then the cinnamon and dry cattle can be warmed and yang, and the water is soaked and the salpinx is removed.
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Hydrosalpinx mainly affects fertility, one is that it does not have the function of transporting eggs, and the other is that it may have a toxic effect on the endometrium and affect the implantation of fertilized eggs. If fertility is desired, surgery is recommended**. If there is no desire to have children, anti-inflammatory and infrared or microwave physiotherapy is recommended to relieve symptoms.
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Tubal effusions are classified as mild, moderate, and severe depending on the severity of the effusion. The diameter of the effusion is less than 1 cm, and the umbrella end of the fallopian tube is basically intact as a mild effusion, and the effect is better; The diameter of the fallopian tube effusion is 1 to 3 cm, and the structure of the fallopian tube umbrella can still be identified as a moderate effusion, and the pregnancy rate is affected to a certain extent; The diameter of the fallopian tube effusion is greater than 3 cm, and the fallopian tube umbrella is completely embedded atresia as a severe effusion, and the surgical effect is poor, and the postoperative spontaneous pregnancy rate is low.
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Hydrosalpinx is a more common type of chronic fallopian tube inflammation, after salpingitis, or due to adhesion atresia, the secretion of mucosal cells accumulates in the lumen, or due to fallopian tube inflammation isthmus and umbrella end adhesions, obstruction forms pyometra, when the pus cells in the lumen are absorbed, they eventually become watery liquid, and some liquid is absorbed to leave an empty shell, which shows hydrops when used for imaging.
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The result of some patients' fallopian tubes is hydrosalpinx, which refers to some inflammatory effusions wrapped in the fallopian tubes, which will have a certain impact on the endometrial environment and affect pregnancy, so for women who want to do IVF, they must be treated with hydrosalpinx to avoid the impact of inflammatory effusion on the uterine cavity.
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If there is a lot of water accumulation, you can directly take the ** method of surgery. Surgery can be performed by hysteroscopic surgery or with traditional Chinese medicine after surgery**. It is recommended to go to a regular hospital for a detailed examination and symptomatic **.
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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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Hefei is not bad in Zhongshan
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Tubal effusion** is determined by combining the amount of fluid accumulated. If the amount is relatively small, it can be conservative**. The method of tubal effusion** is the same as that of chronic salpingo-oophoritis, combined with the methods of traditional Chinese and Western medicine**, and the dialectical method is carried out.
If it is added with physical **, such as microwave and ultra-short wave, it can achieve good efficacy. Tubal effusion** can be treated internally and externally, and can be used at the same time. If the symptoms of tubal effusion are severe, the amount of effusion is large, or a large tubo-ovarian cyst has been formed, the effect of tubal effusion** is generally not good, and the combination of traditional Chinese and Western medicine should be considered**.
In younger patients, if the ovaries are normal in appearance, the fallopian tubes can be separated from the ovarian adhesions, the ovaries can be spared, or normal ovarian tissue can be avoided.
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The purpose of hydrosalpinx** is to eliminate hydrosalpinx, restore normal anatomy and function of the fallopian tubes, and relieve clinical symptoms. The doctor will give an individualized approach according to the patient's fertility requirements, the severity of hydrosalpinx and the patient's clinical symptoms, including conservative** and surgical**: for mild hydrosalpinx without obvious clinical symptoms and no fertility requirements, it can be temporarily not treated, but it is necessary to pay attention to the changes in the condition daily; Antibiotics may be used in patients with acute salpingitis who do not have a desire to have children**; Surgery is an option for patients with severe lesions and impaired tubal function that is difficult to recover**.
The doctor will decide on the best plan based on the patient's general condition and condition. The causative agent of fallopian tube inflammation is mostly co-infection, so broad-spectrum antibiotics or a combination of drugs should be selected under the guidance of a doctor. Oral or intramuscular antibiotics:
Patients are generally well, have mild symptoms, are able to tolerate oral antibiotics, and are eligible for follow-up and can be given oral or intramuscular antibiotics on an outpatient basis**. Intravenous antibiotics: patients with poor general condition, severe condition, accompanied by other symptoms, or ineffective outpatient treatment, unclear diagnosis, etc., should be hospitalized to give intravenous antibiotics**mainly a comprehensive **.
Traditional Chinese medicine ** hydrosalpinx is also symptomatic **, Chinese medicine believes that women's hydrosalpinx basically belongs to the category of lower belt disease, less abdominal pain, low back pain and so on. It is based on the principle of anti-inflammatory, analgesic, blood circulation and blood stasis, heat clearing and detoxification, dispelling dampness, water dilution, blood circulation and blood stasis. The general Chinese medicine formula has the effect of improving local microcirculation and tissue nutrition in the pelvis, stimulating the uterus, and softening the scar of the fallopian tubes, but the effect also varies from person to person. >>>More
Hydrosalpinx**conservative**that is, medicine**, anti-inflammatory drugs** are fine, but it also depends on the amount of effusion. If the effusion is relatively large, the drug alone may not be effective enough, and it needs to be extracted and then combined with anti-inflammatory drugs**, so that the effect will be better. According to the degree of hydrosalpinx, it is decided whether it is conservative ** or surgery**, generally a small amount of hydrops, take drugs **plus physical**, severe hydrops should be done tubal guidewire, there is adhesion at the end of the fallopian tube, do three mirrors and a trace of tubal dredging, and the specific examination can be made before deciding the **plan.
Fallopian tube obstruction also varies from mild to moderate to severe. Very slightly, or just some, for example, the fallopian tube because its lumen is very thin, so there are some exfoliated cells and tissue, shedding endometrium or some bleeding clots, cellulose, etc., which may block the fallopian tubes. Then if it is this kind of blockage, through some clear fluid**, it may be dredged. >>>More
There are two sides of the fallopian tube, and it is possible to get pregnant if there is a side pass, if they are different, you have to go to an infertility hospital**.
The best ways of hydrosalpinx are:1Tubal umbrella end ostomy. >>>More