How to treat fallopian tube inflammation, these three common methods

Salpingitis is also called adnexitis. The incidence rate is higher in married women with children. Patients will experience frequent and painful urination, lower abdominal pain, heavy menstrual flow, prolonged menstruation. Chronic salpingitis can also cause dysmenorrhea. Patients should stay in bed for anti-inflammatory treatment in time to control infection.

(I) General support and symptomatic treatment : Absolute bed rest or semi-recumbent position to facilitate drainage and help limit inflammation. Drink plenty of water and a high-calorie, easily digestible semi-liquid diet. People with high fever should be given fluids to prevent dehydration and electrolyte imbalance. To correct constipation, take Chinese medicine, such as senna leaves, or use saline or 1, 2, or 3 doses of enema. Those who are in pain may be given sedatives and analgesics. For patients with severe peritoneal irritation symptoms in the acute phase, ice packs or hot water bags can be used to apply to the painful area (cold or hot compresses depend on the patient's comfort). After 6 to 7 days, gynecological examination and laboratory tests of total white blood cell count and erythrocyte sedimentation rate confirm that the condition has stabilized and infrared or short-wave diathermy therapy can be used instead.

(ii) Infection control: Appropriate antibiotics can be selected based on the smear examination of uterine discharge fluid or the results of bacterial culture and drug sensitivity. Since this type of inflammation is mostly caused by mixed infection, and the pathogens in China are mostly Escherichia coli and Bacteroides, especially Bacteroides fragilis, while gonorrhea or chlamydia infections are less common, gentamicin 80,000 U can be used, injected intramuscularly 2 to 3 times a day, or 240,000 U can be used by intravenous drip, such as metronidazole 0.4 g 3 times a day. Gentamycin is more effective against Escherichia coli, while metronidazole is particularly effective against anaerobic bacteria, has low toxicity, strong bactericidal power, and is inexpensive, so it has been widely used. In severe cases, broad-spectrum antibiotics such as cephalosporin, amikacin, chloramphenicol, etc. can be given intravenously. The treatment must be thorough, and the dosage and application time of antibiotics must be appropriate. Insufficient dosage will only lead to the production of drug-resistant strains and the continued existence of lesions, which will develop into a chronic disease. The sign of effective treatment is gradual improvement of symptoms and signs, which can usually be seen within 48 to 72 hours, so do not change antibiotics easily.

In addition to antibiotics, corticosteroids are often used for severe infections. Adrenal cortical hormone can reduce interstitial inflammatory response, increase the concentration of antibiotics in the lesions, fully exert its antibacterial effect, and has antipyretic and antitoxic effects. It can reduce fever quickly and absorb inflammatory lesions quickly, especially for cases with weak response to antibiotics. Administer dexamethasone 5-10 mg dissolved in 500 ml of 5% glucose solution intravenously once a day. When the condition stabilizes slightly, switch to oral prednisone 30-60 mg per day, and gradually reduce the dose to 10 mg per day for 1 week. After discontinuation of adrenal cortical hormones, antibiotics still need to be continued for 4 to 5 days.

(III) Local puncture and injection of antibiotics for abscesses : After an abscess is formed, systemic application of antibiotics is not effective enough. If the fallopian tube-ovarian abscess is close to the posterior fornix, and vaginal examination shows that the posterior fornix is ​​full and fluctuating, posterior fornix puncture should be performed. After confirmation of pus, the posterior fornix can be incised and drained, and a rubber tube can be placed for drainage; or the contents can be sucked out first, and then 800,000 U of penicillin plus 160,000 U of gentamicin (dissolved in saline) can be injected through the same puncture needle. If the pus is thick and difficult to draw out, it can be diluted with saline solution containing antibiotics so that it gradually becomes a bloody serum-like substance that is easier to draw out. Generally, the abscess will disappear after 2 to 3 treatments. However, puncture is rarely used nowadays.