Blocked Fallopian Tubes
Oviduct obstruction is mostly caused by infection, common bacterial infections, special pathogen infections, such as tuberculosis, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, protozoa, etc. Divided into proximal fallopian tube obstruction, middle fallopian tube obstruction, and distal fallopian tube obstruction by location. According to the degree of obstruction, it is divided into incomplete tubal obstruction and complete fallopian tube obstruction.
Oviduct obstruction is mostly caused by infection, common bacterial infections, special pathogen infections, such as tuberculosis, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, protozoa, etc. Divided into proximal fallopian tube obstruction, middle fallopian tube obstruction, and distal fallopian tube obstruction by location. According to the degree of obstruction, it is divided into incomplete tubal obstruction and complete fallopian tube obstruction.
Treatment
1. Medication
The salpingitis that causes obstructive infertility of the fallopian tube is mainly chronic inflammation, so most of them are treated with drugs, especially TCM Tiaojing Tongqi Recipe, but the effect is not good.
2. Surgical treatment
(1) Fallopian tube drainage can be performed 3 days after menstruation is clean. 160,000 units of gentamicin, 2 ml of 2% procaine, 5 mg of dexamethasone, and 5 mg of α-chymotrypsin were dissolved in 20 ml of normal saline and injected into the uterine cavity through a tubal drainage catheter. Once every other day, stop treatment before ovulation. It can be treated continuously for 2 to 3 menstrual cycles. This therapy is still used by most medical institutions, but it has poor efficacy, is prone to infection, and has a high false-positive rate.
(2) Conventional surgical treatment of the diseased fallopian tube: tubal stoma, adhesion separation, tubal anastomosis, uterine tubal implantation, etc. Conventional surgery has large incisions and slow recovery after surgery.
(3) In vitro fertilization-embryo transfer technology can be performed if there are fertility requirements. If there are no uncomfortable symptoms and fertility requirements, no special treatment is required.
Reference:
Zhou Weisheng, Zhang Wenzhou, Cai Xin. Research progress in the etiology and pathology of tubal obstruction. "CNKI", 2010
Li Xiaoping. Discussion on syndrome differentiation and disease differentiation treatment of tubal obstruction and infertility. "Shaanxi Traditional Chinese Medicine", 2006
Lu Meisong, Li Fengzhen, Gao Xiaoli, etc. Analysis of 358 cases of tubal obstructive infertility treated with hysteroscopy intubation fluid combined with traditional Chinese medicine. "WanFang", 2001
Gao Hui. Clinical observation on the treatment of tubal obstructive infertility with retention enema with traditional Chinese medicine. "CNKI", 2000
Wang Zhimin. Retention enema with Huayu Tongluo Decoction in the treatment of 239 cases of tubal obstruction. "CNKI; WanFang", 2005
输卵管阻塞 輸卵管阻塞
输卵管阻塞多为感染引起,常见细菌感染,特殊的病原体感染,诸如结核菌、沙眼衣原体、解脲脲原体、人型支原体、原虫等。按部位分为输卵管近端梗阻、输卵管中段梗阻和远端输卵管梗阻。按阻塞程度分为输卵管不全梗阻和输卵管完全梗阻。
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