Diagnosis and treatment of chronic salpingitis.docVIP

 PAGE \* MERGEFORMAT 8 Diagnosis and treatment of chronic salpingitis [Abstract] Gynecology tubal inflammation is common, salpingitis divided according to different predisposing factors of acute and chronic salpingitis. Oviduct hypertrophy caused by chronic salpingitis and tubal empyema caused by water is one of the important reasons of female infertility. Caused by tubal inflammation is due to upward spread of lower genital tract infection caused by inflammation may be inappropriate for treatment was not thorough and chronic inflammatory changes. Keywords:] the treatment of chronic salpingitis 1. Cause Chronic salpingitis usually done by changing from acute salpingitis and often in combination with chronic oophoritis. Pathogen with acute salpingitis. Tuberculous salpingitis is usually chronic process. 2. Pathologic (1) nest of chronic tubal inflammation: fallopian tube and ovary within the connective tissue proliferation, fibrosis, and tubal wall thickening, harsh, most of the luminal obstruction, the individual may also be open. Ovarian hard, bigger, and fallopian tubes, uterine adhesions. (2) hydrosalpinx: a result of inflammation, the umbrella side tubal occlusion, wall retention of inflammatory exudates in the lumen formed in empyema. Oviduct empyema, pus can be absorbed into the liquid left over from the clearest water. Hydrosalpinx is larger than the size of empyema, large or palpable in the abdomen can be, more involved bilateral tubal ovaries. surface smooth, wall thin and transparent, with fewer adhesions around, and therefore activity of large, occasionally isthmus reverse can occur. oviduct wall seen under microscope, flattened epithelial and mucosal folds disappeared, some mucosa fold adhesion to each other to form a small adenoid cystic, in its cross section looks more like a small room change This is also called follicular hydrosalpinx. (3) tubal ovarian cysts: mainly from the tubal ovarian abscess, pus