Post Date July, 25 2023
Salpingitis is a gynecological inflammation and a disease that we should pay attention to. It not only endangers the health of patients, but also affects the pregnancy status of women.
Symptoms of salpingitis
1. There is a certain degree of pain in the lower abdomen, mostly dull pain, lumbosacral pain, and falling sensation.
2. Physiological pain, pelvic congestion, abdominal pain starting one week before menstruation, getting heavier as it approaches the physiological day, until menstruation begins.
3. Abnormal menstruation, characterized by an increase in menstrual volume and irregular cycles.
4. There is an increase in vaginal discharge, and some patients may not have any conscious symptoms except for infertility.
Two stages of salpingitis
1. Initial symptoms: lower abdominal pain, fever, increased Vaginal discharge. Abdominal pain worsens after prolonged, active, or sexual intercourse. If the condition is severe, there may be systemic symptoms such as chills, high fever, headache, and insufficient appetite.
2. Late stage symptoms: Due to long-term inflammation, the tissue between the fallopian tube walls proliferates and fibrosis, the tube wall thickens and hardens, the tube body thickens, and the lumen is blocked. The tortuous fallopian tubes often adhere to the posterior lobe of the broad ligament with Oophoritis, which is difficult to separate.
Examination methods for salpingitis
1. CT examination: It is difficult to distinguish other lesions from salpingitis, and CT can only be detected when the fallopian tube abscess is large.
2. Ultrasound examination: Detection of hydrosalpinx caused by partial inflammation of the fallopian tubes, thickening of the fluid dark areas on both sides of the uterus, but can only indicate the possibility of hydrosalpinx.
3. Salpingography: Inflammation of the fallopian tubes is not present, and specific location, degree, and nature can be understood. It can also identify endometrium, fallopian tube and pelvic tuberculosis lesions.
4. Hysteroscopy and selective intubation examination: Hysteroscopy is a common examination and treatment method that can be combined with laparoscopy for examination. Selective intubation examination needs to be determined based on personal circumstances and cannot be used arbitrarily.
5. Pathological examination: Cervical histopathological examination and endometrial pathology examination should pay attention to both sides of the uterus. Cervical contact with blood should also be biopsied. Positive female patients can determine the nature of the lesion.
6. Pregnancy examination
The pregnancy test result for salpingitis is negative, while the pregnancy test result for fallopian tubes is 50-87.5% positive.
7. Pigment solution for tubal patency
Inject the uterus through a catheter and observe the color 30 minutes later. Compared to the color meter, a concentration of over 90% is very normal.
