Treatment of bilateral hydrosalpinx

The choice of method is critical in the treatment of diseases. For the treatment of some complex diseases, you cannot choose the treatment method arbitrarily. This will not help improve the physical disease at all, and it will also cause great harm to the body. Many people do not understand bilateral hydrosalpinx. In such a situation, patients should seek timely treatment. What are the treatments for bilateral hydrosalpinx? The following is a detailed introduction.

Treatment of bilateral hydrosalpinx:

Non-surgical treatment:

Get adequate rest, reduce sexual intercourse, and thoroughly treat cervicitis, inflammation of the vulva, vagina, and urethral glands, especially cervical erosion, which can cause repeated infection of the appendages and the possibility of acute attacks. In addition, the following methods are available:

1. Antibiotic treatment should be applied locally, and lateral fornix closure or intrauterine injection can be used:

(1) Antibiotic lateral fornix closure: once a day or every other day depending on the condition, 7 to 8 times as a course of treatment. If necessary, the injection can be repeated after the next menstruation. Generally, 3 to 4 courses of treatment are required. Dexamethasone or prednisolone can also be added and injected simultaneously.

(2) Intrauterine injection of antibiotics into the fallopian tube: The operation is the same as the method of tubal perfusion, or a double-lumen rubber catheter is inserted into the uterine cavity. The injection volume is gradually increased according to the size of the uterine cavity and the degree of fallopian tube occlusion. The initial dosage should not exceed 10 ml, and the injection solution should not be lower than room temperature to avoid causing fallopian tube spasm. The pressure should be less than 21.3 kPa and injected slowly at a rate of 1 ml per minute. After injecting the medicine, maintain the cycle for 15 to 20 minutes, remove the rubber tube, and ask the patient to lie still for half an hour. Start every month 3 to 4 days after the menstrual blood stops, once every 2 to 3 days, 5 to 6 times as a course of treatment, for a total of 3 to 4 courses.

In addition to penicillin and gentamicin, the drug should also contain hyaluronidase, chymotrypsin or dexamethasone. Hyaluronidase can hydrolyze hyaluronic acid in tissues to accelerate the penetration and absorption of the drug and increase its efficacy. Chymotrypsin can dissolve fibrin and remove necrotic tissue, hematoma and other secretions.

Adrenal cortex hormones are often used in combination with antibiotics to treat chronic salpingitis. It is reported that simply injecting antibiotics into the fallopian tube cavity can make obstruction unobstructed in 10% of cases, while adding dexamethasone can make the rate reach more than 50%. Currently, most patients take two cycles of prednisone before injection, that is, take 20 mg/d of prednisone for 5 days starting from the fifth day of each cycle, gradually reducing to 15 mg/d for 5 days, 10 mg/d for 10 days, a total of 20 days. Intrauterine injection is performed after the menstruation in the third cycle. The first three times use 800,000 u of penicillin, 160,000 u of gentamicin, and 1500 u of hyaluronidase (or 5 mg of α-chymotrypsin) dissolved in 10 ml of normal saline. After the next three times, use 5 mg of dexamethasone plus antibiotics. After two courses of treatment, rest for one month and repeat the injection until the tube is unobstructed.

2. Physical therapy: It can promote blood circulation and help dissipate inflammation. Commonly used methods include ultrashort wave, diathermy, infrared irradiation, etc.

After understanding the treatment methods of bilateral hydrosalpinx, the above methods can be followed when treating bilateral hydrosalpinx. However, when treating bilateral hydrosalpinx, patients must also pay attention to their diet and must choose light food. Eating some complex food at this time will not help the body at all.