Symptoms of tubal obstruction

summary

Tubal obstruction mainly leads to female infertility, accounting for 25% to 35% of female infertility, and the main cause of tubal injury is pelvic inflammatory disease (PID). The incidence of secondary tubal obstruction is directly related to the incidence of PID. The reproductive capacity after fallopian tube reconstruction depends on the location and degree of fallopian tube injury. IVF can improve the pregnancy rate. Symptoms of tubal obstruction? Let's talk about it

Symptoms of tubal obstruction

Tubal obstruction can be judged by the patient's self feeling symptoms. Women with tubal obstruction may have different degrees of lower abdominal pain, back and sacral pain, swelling and falling sensation; There are bladder and rectum filling pain or emptying pain, or frequent urination, irritability and other symptoms of bladder and rectum irritation.

The condition of tubal obstruction is more serious than tubal obstruction. Although the fallopian tube occlusion, but the fallopian tube itself is mostly normal, through the combined operation of uterine cavity and abdominal cavity, the fallopian tube can be dredged or placed 24 hours. If there is hydrosalpinx during the operation, it can be opened on it, let out the liquid and turn over the suture. The combined operation of uterine cavity and abdominal cavity is widely used in the treatment of fallopian tube occlusion. The operation effect is good, and the success rate is more than 90%.

Tubal obstruction is the most serious type of tubal obstruction, which is mostly caused by delayed treatment or tubal tuberculosis infection. It is a major cause of female infertility. Even if the tubal is successfully dredged, it is difficult for patients to conceive naturally.

matters needing attention

Salpingostomy is one of the common methods to solve infertility caused by distal tubal obstruction. However, due to the obstruction of the fallopian tube is often accompanied by serious destruction of the ciliary tissue of the fallopian tube cavity, and the damage of the peristaltic ability of the fallopian tube muscle layer, the postoperative pregnancy rate is only about 30%. The factors determining the success of the operation are not only the operation skills, but also the degree of destruction of the fallopian tube. Endometriosis, appendicitis and other forms of tubal external adhesions, tubal itself ciliated cells and mucosal folds are not damaged, the pregnancy rate is relatively high; On the contrary, the fallopian tube obstruction caused by Chlamydia, Neisseria gonorrhoeae or Mycobacterium tuberculosis often causes serious damage to the fallopian tube intima, and the effect of salpingostomy is relatively poor.