Treatment of tubal obstruction

summary

The outermost part of the fallopian tube becomes the funnel part of the fallopian tube, also known as the fimbria part of the fallopian tube. The fimbria end of fallopian tube not only has the function of "picking up" eggs, but also is regulated by ovarian hormones, which changes periodically with the menstrual cycle and has complex physiological functions. Therefore, when the fimbria end of the fallopian tube is blocked, it will have an important impact on women's pregnancy. For the treatment of tubal obstruction, I'll tell you.

Treatment of tubal obstruction

Method 1: treatment of proximal tubal obstruction. Proximal fallopian tube obstruction accounts for 10% to 25% of female fallopian tube diseases. The recanalization of proximal fallopian tube obstruction can be performed by hysteroscopic cook wire recanalization or fallopian tube recanalization Partial resection and re anastomosis, hysteroscopic guide wire recanalization is to insert cook guide wire into the interstitial part of fallopian tube under hysteroscopy for liquid recanalization, and recanalize the interstitial part and isthmus of fallopian tube through the separation, expansion and impact of liquid of guide wire sleeve. This method is very simple in the treatment of proximal fallopian tube blockage, but the cost of operation is low It's very expensive.

Method 2: the treatment of middle oviduct obstruction. The pathological changes of middle fallopian tube refer to the obstruction or absence of the middle part of fallopian tube. The cause of the disease is tubal pregnancy and tubal sterilization. Salpingostomy is a common surgical method for the obstruction of middle fallopian tube, which is to remove the blocked part of fallopian tube under laparoscope and anastomose the two ends of fallopian tube.

Method 3: the treatment of distal tubal obstruction. Distal tubal lesions accounted for 85% of tubal infertility. The causes of distal tubal obstruction are pelvic inflammatory disease, peritonitis and previous pelvic and abdominal surgery. The common methods include salpingostomy, salpingoplasty and salpingectomy.

matters needing attention

Usually, after the recovery of consciousness after laparoscopic surgery, patients should be able to resume eating. At the beginning, they should drink some warm boiled water. Without any maladjustment, they can start to eat liquid food (such as porridge). The next day, they can resume their normal diet. Because the wound healing needs to use protein, they should eat high protein food (such as fish, lean meat, eggs, etc.) to accelerate the wound healing The healing, and avoid stimulating food, so as not to stimulate gastric acid secretion caused by gastrointestinal discomfort.