Blocked Fallopian Tubes

Oviduct obstruction is mostly caused by infection, common bacterial infections, special pathogen infections, such as tuberculosis, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, protozoa, etc. Divided into proximal fallopian tube obstruction, middle fallopian tube obstruction, and distal fallopian tube obstruction by location. According to the degree of obstruction, it is divided into incomplete tubal obstruction and complete fallopian tube obstruction.

Oviduct obstruction is mostly caused by infection, common bacterial infections, special pathogen infections, such as tuberculosis, Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma hominis, protozoa, etc. Divided into proximal fallopian tube obstruction, middle fallopian tube obstruction, and distal fallopian tube obstruction by location. According to the degree of obstruction, it is divided into incomplete tubal obstruction and complete fallopian tube obstruction.

Treatment

1. Medication

The salpingitis that causes obstructive infertility of the fallopian tube is mainly chronic inflammation, so most of them are treated with drugs, especially TCM Tiaojing Tongqi Recipe, but the effect is not good.

2. Surgical treatment

(1) Fallopian tube drainage can be performed 3 days after menstruation is clean. 160,000 units of gentamicin, 2 ml of 2% procaine, 5 mg of dexamethasone, and 5 mg of α-chymotrypsin were dissolved in 20 ml of normal saline and injected into the uterine cavity through a tubal drainage catheter. Once every other day, stop treatment before ovulation. It can be treated continuously for 2 to 3 menstrual cycles. This therapy is still used by most medical institutions, but it has poor efficacy, is prone to infection, and has a high false-positive rate.

(2) Conventional surgical treatment of the diseased fallopian tube: tubal stoma, adhesion separation, tubal anastomosis, uterine tubal implantation, etc. Conventional surgery has large incisions and slow recovery after surgery.

(3) In vitro fertilization-embryo transfer technology can be performed if there are fertility requirements. If there are no uncomfortable symptoms and fertility requirements, no special treatment is required.

Reference:

Zhou Weisheng, Zhang Wenzhou, Cai Xin. Research progress in the etiology and pathology of tubal obstruction. "CNKI", 2010

Li Xiaoping. Discussion on syndrome differentiation and disease differentiation treatment of tubal obstruction and infertility. "Shaanxi Traditional Chinese Medicine", 2006

Lu Meisong, Li Fengzhen, Gao Xiaoli, etc. Analysis of 358 cases of tubal obstructive infertility treated with hysteroscopy intubation fluid combined with traditional Chinese medicine. "WanFang", 2001

Gao Hui. Clinical observation on the treatment of tubal obstructive infertility with retention enema with traditional Chinese medicine. "CNKI", 2000

Wang Zhimin. Retention enema with Huayu Tongluo Decoction in the treatment of 239 cases of tubal obstruction. "CNKI; WanFang", 2005

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