Uterine effusion
Introduction
Introduction to uterine fluid Uterine effusion is also known as uterine effusion. Uterine effusion is not common clinically. Patients with uterine effusion of different ages can be caused by different causes. The uterine effusion is mainly caused by inflammatory exudate, which means that it has a certain relationship with the infection of inflammation. It has nothing to do with physical therapy of uterine palsy, regardless of acute or chronic endometritis with cervical occlusion. The inflammatory secretions in the uterine cavity can not be drained or the drainage is not smooth, and the uterine cavity empyema can be formed, but it may be caused by the upward infection of the cervix. Intrauterine effusion and small abdominal pain are the result of pelvic inflammatory disease. In general, intravenous infusion is recommended. Because the pelvic area is large and inflammation can affect the peritoneum, the effect of intravenous administration is much better than oral administration. It is recommended that the semi-recumbent high-calorie, high-protein, high-vitamin fluid or semi-liquid food correct electrolyte imbalance and acid-base imbalance, and use physical cooling when high heat. Abdominal distension should be gastrointestinal decompression. basic knowledge The proportion of illness: 0.002% Susceptible people: women Mode of infection: non-infectious Complications: infertility pelvic inflammatory disease
Cause
Cause of uterine effusion
Uterine bleeding (20%):
Dysfunctional uterine bleeding is referred to as functional uterine bleeding or dysfunctional uterine bleeding, caused by neuroendocrine disorders, rather than by pregnancy, endometrial tumors, infections or blood diseases. Often occurring in adolescence, are anovulatory functional uterine bleeding, also known as adolescent functional uterine bleeding.
Endometritis (18%):
Endometritis is an inflammatory change in the structure of the endometrium caused by various causes. The uterine cavity has good drainage conditions and periodic endometrial exfoliation, so that there is very little chance of inflammation staying in the endometrium for a long time. However, if the acute phase inflammation is not completely treated, or the source of infection is often present, it can be repeated.
Cervical canal adhesions, blockage (25%):
Cervical canal adhesion refers to the narrowing or atresia of the cervical canal due to adhesion of the cervical canal mucosa after mechanical damage.
Genital malformations (10%):
In the presence of uterine effusion, the patient may present a lower abdominal pain, and may have increased vaginal discharge and bloody secretions.
Pathological effusion
Mainly caused by pelvic inflammation, refers to inflammation of pelvic organs such as endometritis, salpingitis, ovarian cysts, etc.) can cause irregular menstruation, sexual life disorders, infertility, etc., must be systematic and scientific treatment. Because most of the infected pathogens should be used under the guidance of doctors for the ineffectiveness of broad-spectrum antibiotics, it often leads to prolonged and recurrent episodes, which is a major problem in treatment. It is very important to completely cure the inflammation. If the treatment is not thorough, it can directly affect pregnancy or cause ectopic pregnancy, which seriously threatens women's health.
Uterine effusion is an inflammatory exudate in the pelvic cavity, which can occur in the endometrial inflammation, a slightly viscous liquid oozing out of the swollen cells of the intimal tissue, and a cystic mass gradually formed by the surrounding tissue. If you don't treat it, you can grow up slowly. Too big, the drug can't be eliminated, and it needs surgery to cut it off. Pelvic effusion can be completely cured, but it must be based on the identification of pathogenic bacteria before it can be effectively treated. In addition to women with normal pelvic effusion due to physiological characteristics, pathological uterine effusion is mostly pelvic inflammatory disease or endometriosis.
The causes of pelvic inflammatory disease are mostly related to patients' poor health habits, such as menstrual period, sexual life within one month after delivery, and bathing in a month after gynecological surgery. Abortion caused by artificial abortion, induced labor and disinfection can also cause pelvic fluid. The effusion caused by pelvic inflammatory disease is best for post-Qianlong puncture examination to identify the nature of the liquid. If there is a chronic infection, it may be inflammation of the gynecological system such as the ovaries and fallopian tubes, or it may be caused by tuberculosis or tumors. Pelvic inflammatory disease should be treated early, and prolonged exposure will affect fertility. To determine the pathogens of pelvic inflammatory disease, special tests should be performed and then symptomatic. If it is suspected to be tuberculous, it should be treated with anti-caries. The effusion is a check or symptomatic treatment and should not be done frequently. Because the simple effusion will not cure the pelvic fluid, it will also increase the effusion.
Prevention
Uterine effusion prevention
For infectious diseases, early diagnosis and active treatment should be carried out; for patients with malignant diseases, "three-level" prevention work for cancer patients should be done well.
Prevention of women of childbearing age after entering the senile period, due to atrophy of the reproductive organs, the function of ovarian secretion of estradiol is stopped, and the immune function is gradually reduced, so elderly women are prone to gynecological diseases.
Complication
Uterine effusion complications Complications infertility pelvic inflammatory disease
1. Uterine effusion leads to infertility: If the uterine effusion is not properly treated, its harmfulness is greater, which may lead to pelvic adhesions, tubal blockage, etc., leading to infertility. Such as normal lower abdominal pain, lumbosacral pain, increased vaginal discharge, gynecological examination of lower abdomen tenderness, strip-like thickening, etc., considering chronic pelvic inflammatory disease, the need for active treatment to prevent increased inflammation, increased fluid volume.
2. Uterine effusion causes pelvic inflammatory disease: Most uterine effusion is caused by inflammation, which is caused by chronic pelvic inflammatory exudation. There are also a small number of ruptures due to ectopic pregnancy, corpus luteum rupture, pelvic abscess, chocolate cysts, and ovarian cancer. The effusion caused by pelvic inflammatory disease is best for post-Qianlong puncture examination to identify the nature of the liquid.
3. Uterine effusion affects fertility: If there is chronic infection, it may be inflammation of gynecological system such as ovary and fallopian tube, or it may be caused by tuberculosis or tumor. Easy to lead to pelvic adhesions, tubal blockage, etc., prolonged will affect fertility.
Symptom
Symptoms of uterine effusion common symptoms uterine empyema lower abdomen pain uterine tenderness primary dysmenorrhea leukocytosis unexplained fever
1. The main symptom is lower abdominal pain, which may be accompanied by systemic symptoms, fever, and elevated white blood cell count.
2. Chronic endometritis and the formation of uterine empyema, no obvious symptoms.
3. The uterus is enlarged, soft and tender. The connective tissue adjacent to the uterus may be significantly thickened and may have an inflammatory mass attached to it.
Examine
Uterine effusion check
1. With the uterine cavity probe human uterine cavity, if there is a pus outflow diagnosis can be established.
2. Pus bacterial culture and drug susceptibility test, if necessary, scrape the endometrial tissue for pathological examination to see if there is malignant lesion.
Diagnosis
Diagnosis of uterine effusion
Diagnostic criteria
(1) History of cervical laser treatment, history of surgery or history of acute and chronic endometritis.
(2) Clinical manifestations
1. The main symptom is lower abdominal pain, which may be accompanied by systemic symptoms, fever, and elevated white blood cell count.
2. Chronic endometritis and the formation of uterine empyema, no obvious symptoms.
3. Gynecological examination: The uterus is enlarged, soft and tender. The connective tissue adjacent to the uterus may be significantly thickened and may have an inflammatory mass attached to it.
(3) Auxiliary inspection
1. Use the uterine cavity probe human uterine cavity: if there is a pus outflow diagnosis can be established.
2. Pus bacterial culture and drug susceptibility test: If necessary, the endometrial tissue should be scraped for pathological examination to see if there is malignant lesion.
