Treatment of Fallopian Tube Masses

The fallopian tube is the only way for the egg to complete fertilization. Once a tumor appears in the fallopian tube and blocks the passage of the egg, it will cause normal conception, which is now called infertility. Therefore, the treatment of fallopian tubes is a very necessary thing. It is said that children are the fruit of love, and children can bring two people who are not related by blood together forever. Below we will introduce its treatment methods.

1. Conservative treatment

1. Get adequate rest and strengthen nutrition.

2. Physical therapy: Promote blood circulation to facilitate the absorption of inflammation. Commonly used methods include short wave, ultrashort wave, diathermy, infrared irradiation, etc.

3. Antibiotic closure of the lateral vaginal fornix: Antibiotics plus dexamethasone are injected into the lateral fornix once a day or every other day. 7-8 times constitute a course of treatment. If necessary, the injection can be repeated after the next menstruation. Generally, 3-4 courses of treatment are required.

4. Intrauterine injection of antibiotics into the fallopian tube: Use antibiotics such as penicillin, gentamicin, etc., and add hyaluronidase, chymotrypsin or dexamethasone.

5. Drug treatment of adhesions:

(1) Chymotrypsin 2.5-5 mg, intramuscular injection, once every other day, for a total of 5-10 times.

(2) Hyaluronidase 1500 U, intramuscular injection, once every other day, for a total of 5-10 times.

(3) 60,000 U of bromelain, 3 times a day, for 7-10 days as a course of treatment.

2. Surgical treatment

1. Salpingostomy: For patients with tubal fimbria obstruction caused by hydrosalpinx, tubal fimbria reconstruction can be performed to relieve the obstruction and adhesion and increase the chance of conception and childbirth.

2. Fallopian tube implantation: For those with partial adhesion blockage in the isthmus, the adhesion part can be removed and the remaining part can be implanted through the uterine cornu, but the success rate is not high.

3. Fallopian tube dilatation: Under hysteroscopy or fallopian tube endoscopy, explore and dilate the fallopian tube from the uterine cornu and retain the stent for 1-2 weeks as appropriate to prevent re-adhesion. Strict aseptic operation must be performed during the operation to prevent iatrogenic infection or spread of inflammation. X-ray interventional treatment techniques such as coronary artery dilatation can be used to dilate the proximal fallopian tube blockage if conditions permit.

4. For those who have obvious inflammatory damage and it is difficult to preserve the fallopian tube, the fallopian tube should be removed as appropriate. Patients with infertility due to fallopian tube obstruction must be followed up after surgery. For pregnant women, attention should be paid to timely detection and treatment of ectopic pregnancy.

The treatment methods for fallopian tube masses have been introduced above. Couples with such problems can go to the hospital for relevant treatment. A family without children is never perfect, and it is also incomplete if you cannot enjoy being a parent, so start challenging the disease from now on!