What causes fluid accumulation in the fallopian tube?

What causes water to accumulate in the fallopian tubes? Hydrosalpinx is a common disease in women. When women suffer from this disease, it is equivalent to putting their fallopian tubes in a polluted environment, which is not conducive to the growth and development of sperm and egg combination, and will cause infertility or even fetal death in women. Therefore, it is very important to prevent this disease in time. So, what causes water to accumulate in the fallopian tubes?

A detailed introduction to the causes of hydrosalpinx.

1. Infection

Women are often infected due to some factors, such as abortion, miscarriage, induced abortion, unclean sexual life, etc., which often lead to bilateral tubal wall thickness adhesion, hematoma, edema and other problems, thus causing hydrosalpinx.

2. Bilateral fallopian tube subcutaneous abscess

In patients with bilateral tubal subcutaneous abscess, the pus balls and necrotic tissue in the tubal lumen may be cleared and drained by tissue cells after dissolution, and then the pus may slowly change into clear water-based sample fluid, which may lead to hydrosalpinx.

3. Chronic salpingitis

If a woman develops chronic salpingitis, the fimbriae of both fallopian tubes will be easily affected by the inflammation, which will lead to adhesion and locking, resulting in obstruction of the fimbriae of both fallopian tubes. As a result, the exudate and transudate in the tubal cavity will be blocked from flowing out and gradually accumulate to form water retention.

What are the methods for checking hydrosalpinx in women?

Hydrotubation.

Hydrotubation is a procedure in which a tube is inserted into the patient's uterine cavity, and 20 ml of a liquid medicine is then injected through the tube. The liquid medicine is usually saline with antibiotics added. The medicine flows from the uterus through the bilateral fallopian tubes and finally reaches the pelvis. According to the characteristic that the uterus can only hold 5ml of volume, if all 20ml of solution can be introduced offline without frictional resistance, and no liquid returns to the syringe after releasing the syringe, it indicates that the solution has passed through the uterus and the fallopian tube cavity into the abdomen, indicating that the fallopian tubes are unobstructed; if the frictional resistance is very large, and more than 10ml of solution returns to the syringe after releasing the syringe, indicating that the fallopian tubes are blocked; if although there is frictional resistance, most of the liquid is introduced and only a small amount flows back, indicating that the fallopian tubes are unobstructed.

Color Doppler ultrasound examination.

Color Doppler ultrasound examination of both fallopian tubes includes general color Doppler ultrasound examination and ultrasound fluid infusion. In general, some hydrosalpinx can be detected on ultrasound, which is manifested as enlarged and thickened liquid shadows on both sides of the uterus. However, ultrasound cannot diagnose whether it is hydrosalpinx or ovarian cyst. It can only be diagnosed as: it reminds the possibility of water accumulation.

X-ray hysterography.

X-ray hysterography can show the size, shape and position of the uterus and the shape of the bilateral fallopian tubes on the monitor and X-ray images. If the disease is unobstructed, the image is extended to the bilateral fallopian tube fimbria ports, and the diffusion of contrast agent in the pelvis can also be seen on the X-ray. If the fallopian tube is blocked, the location, degree and characteristics of the blockage can be clearly displayed.

Laparoscopy.

By introducing melanin liquid such as methylene blue into the uterine body through the uterine hose, laparoscopic surgery is used to observe that methylene blue overflows from the fimbriae of both fallopian tubes into the pelvis, which means it is smooth. If there is proximal blockage of both fallopian tubes, methylene blue liquid will not overflow from the fimbriae of both fallopian tubes into the abdomen. If there is distal blockage of both fallopian tubes, it can be seen that the fimbriae of both fallopian tubes and ampullae are enlarged, thickened and stained blue, but there is no methylene blue fluid flowing from the fimbriae of both fallopian tubes and injected into the abdomen.