|
Tubal patency is essential for one of the main conception, tubal lumen is rather narrow, the narrowest part of the lumen diameter is only 1 ~ 2mm. When the event of salpingitis or pelvic inflammatory disease, tubal, and the most narrow part of the umbrella side is prone to adhesions or complete atresia, so that sperm and eggs can not be met in the lumen, resulting in infertility. Salpingitis is more common in infertile women, its etiology is due to pathogen infection, pathogens are mainly staphylococcus, streptococcus, E. coli, Neisseria gonorrhoeae, Proteus, pneumonia bacteria, caused by Chlamydia. Most likely time of infection post-natal, post-abortion, or after menstruation. During childbirth or abortion caused by the birth canal and placenta peeling surface injury or menstrual endometrial stripping the wounds are infected with pathogens within the genital way. Sometimes infection is a strict aseptic surgical and non-operating related, such as the IUD placed, curettage surgery, tubal fluid, such as lipiodol angiography. Sex life too much, menstrual period sexual intercourse, can also be caused by infection occurred salpingitis. Small number of patients due to the direct spread to neighboring organs from inflammation, such as appendicitis or other parts of the body of Gan Ranzao blood line of communication up to tubal cause infection. Salpingitis is often the site of the first occurrence of tubal lining, resulting in intimal swelling, interstitial edema, hyperemia, and exudation lesion, oviduct epithelial shedding, so that adhesions or tubal mucosa with each other umbrella-side adhesion, resulting in luminal atresia and infertility . Salpingitis mainly manifested lower abdominal pain, abdominal distention, fever, increased vaginal discharge or irregular vaginal bleeding and so on, in severe cases can lead to tubal occlusion of the lumen, accumulation of pus in the lumen formed pyosalpinx. 2010-03-31
|
