Conservative treatment of pelvic inflammatory disease

summary

According to statistics, the incidence of ectopic pregnancy after pelvic inflammatory disease is 8-10 times of normal women. The incidence of ectopic pregnancy is also related to the frequency of pelvic inflammatory disease. Relevant studies show that the incidence of ectopic pregnancy is 6% in the first attack of pelvic inflammatory disease, 12% in the second attack and 22% in the third attack. Now let's share the conservative treatment of pelvic inflammatory disease.

Conservative treatment of pelvic inflammatory disease

Treatment 1: Western medicine therapy and traditional Chinese medicine therapy, surgical treatment if necessary, antibiotic treatment: according to the drug sensitivity test drug selection reasonable antibiotics 1. Outpatient treatment: commonly used scheme 1), oral ofloxacin or levofloxacin plus metronidazole for 14 days; 2) single intramuscular injection of cefoxitin sodium, oral probenecid for a single time, use doxycycline; 4; Or other third-generation cephalosporins such as ceftriaxone sodium combined with doxycycline and metronidazole.

Treatment 2: inpatient treatment: most of the outpatient treatment is invalid, or the patient's condition is serious and needs comprehensive treatment in hospital. 1) supportive therapy: lying in bed, half lying position is conducive to the accumulation of pus in recto uterine depression, which limits the inflammation. Give high calorie, high protein, high vitamin liquid or semi liquid food, supplement liquid, pay attention to correct electrolyte disorder and acid-base imbalance, if necessary, a small amount of blood transfusion. In case of high heat, physical cooling is adopted. Try to avoid unnecessary gynecological examination, so as to avoid the spread of inflammation, if there is abdominal distension, gastrointestinal decompression should be performed.

Treatment 3: surgical treatment: mainly used for the treatment of tubal ovarian abscess or pelvic abscess with unsatisfactory antibiotic control.

matters needing attention

Menstrual women should pay attention to personal hygiene and strictly prohibit sexual intercourse. During menstrual intercourse, male genitals may bring bacteria into the vagina. Menstrual blood is a good culture base for bacteria and other microorganisms. Bacteria are easy to breed, spread along many tiny wounds and ruptured small blood vessels in the endometrium, infect the endometrium, and even affect the fallopian tube and pelvic organs, causing pelvic inflammation.