tubal cyst
Introduction
Introduction to fallopian tube cyst Fallopian tube cysts are a type of accessory cyst that is often caused by inflammatory stimuli. If the cyst is small and does not require surgery, it can be closely observed. If the growth rate is faster, surgery should be considered. There is nothing special to pay attention to in the diet. It is recommended to do a gynecological examination to determine the specific condition and then actively treat it. Tubal cysts generally refer to the fallopian tube after infection by pathogens, due to infiltration of white blood cells to form intimal swelling, interstitial edema, exudation, fallopian tube mucosal epithelial shedding, if the acute phase of the fallopian tube inflammation did not receive timely and effective treatment to form tubal empyema. After the inflammation of the fallopian tube is reabated, the pus is gradually absorbed, and the effusion in the cavity changes from purulent to serous, which becomes a fallopian tube cyst. Simple tubal empyema can evolve into scarring salpingitis or fallopian tube cyst after inflammation subsides. The latter is a common complication of chronic salpingitis, which is characterized by umbrella occlusion and cystic expansion of the fallopian tube. The tube wall is thin and translucent, and the inside of the capsule is a clear slurry. The tubal dilatation and the unexpanded lumen are still in communication, so patients often have vaginal discharge. At present, the treatment plan for the endometrial cyst of the fallopian tube is to open the laparoscopic or laparoscopic umbrella endostomy when the menstruation is clean for 3-7 days, the success rate is about 20%; the second is to do the test tube baby, the success rate is also about It is 20%. Tubal ostomy is suitable for patients with proximal tubal patency and stagnant water at the distal end. basic knowledge The proportion of illness: 0.03% Susceptible people: women Mode of infection: non-infectious Complications: infertility, ectopic pregnancy
Cause
Tubal cysts
Infection factor (50%)
The causes of ovarian cysts are mostly due to acute development. Inflammation causes the umbrella end of the fallopian tube to adhere to the isthmus, and the inflammatory secretions cannot be discharged, accumulating and forming the fallopian tube. Simple ovarian empyema is relatively rare. Ovarian empyema is also caused by acute salpingitis. If the fallopian tube end is not closed when acute salpingitis occurs, its purulent secretions can flow from the umbrella end into the pelvic cavity, causing extensive adhesion of the pelvic organs. The fallopian tubes and ovaries are surrounded by them. Oviduct ovarian cysts. Fallopian tube inflammation spreads to the ovary, and the fallopian tube and ovary adhere to each other. It can also be developed from the acute stage of the fallopian tube ovarian cyst.
Damp heat and cold dampness (40%)
Chinese medicine believes that the fallopian tube ovarian cysts are mostly caused by postpartum menstruation, loss of conditioning, resulting in damp heat, cold and dampness caused by virtual invasion. Because the treatment is not timely or incomplete, the evil spirits are nostalgic, and the rushing blood and blood stasis.
Prevention
Fallopian tube cyst prevention
1, regular gynecological examination: women should also pay attention to regular gynecological examinations in peacetime, regardless of whether there are any abnormal symptoms, should pay attention to gynecological examination, consciously, regular gynecological examination to help early detection of whether there is Abnormal conditions, if any, can be treated in a timely manner.
2, pay attention to diet: in the diet, should pay attention to diet science, to maintain a balanced intake of nutrition, appropriate, at the same time, a light diet is appropriate, avoid eating spicy spicy food, correct partial eclipse and bad eating habits.
3, the law of life: women should also pay attention to life in regular times, maintain adequate sleep, avoid frequent staying up late, overnight, overworked, etc., to develop good habits.
4, physical exercise: usually adhere to appropriate exercise, work and rest, strengthen physical fitness.
Complication
Tubal cyst complications Complications, infertility, ectopic pregnancy
Infertility
When the fallopian tube cyst grows to a certain stage, it will cause adhesion and blockage of the fallopian tube and destroy the normal physiological function of the fallopian tube, leading to secondary infertility.
Ectopic pregnancy
Oviduct cysts cause luminal occlusion, cysts or adhesions, which can impede the operation of sperm, eggs or fertilized eggs, causing the fertilized eggs to reach the uterine cavity and cause ectopic pregnancy. The fallopian tube rupture caused by ectopic pregnancy can be life-threatening.
Carcinogenesis
Long-term growth of the fallopian tube cyst can lead to cyst deterioration and canceration. According to statistics, the incidence of ovarian cancer and fallopian tube cancer is much higher in patients with tubal cysts than in normal people.
Symptom
Symptoms of fallopian tube cysts Common symptoms Lower abdominal pain Vaginal irregular bleeding Lower abdominal mass Lower abdomen dull pain and soreness vaginal discharge is black watery
(a) vaginal discharge
About 50% of patients with tubal cysts have vaginal discharge, which is a yellow watery liquid. Generally, there is no odor, and the amount is different, often intermittent. This is the most specific symptom of this disease.
(two) vaginal bleeding
Tubal cysts occur mostly in the middle of menstruation or postmenopausal, with irregular small amount of bleeding, and the curettage is often negative.
(three) abdominal pain
Tubal cysts are generally dull pain in the affected side of the lower abdomen, which is caused by tubal enlargement. Sometimes it is paroxysmal colic, which is caused by spasm contraction of the oviduct. After the vaginal discharge of a large amount of fluid, the pain is relieved, and a few cases of severe abdominal pain are caused by complications.
(four) lower abdominal mass
In patients with tubal cysts, gynecological examinations often touch the thickening or mass of the fallopian tubes on one or both sides. The quality is both sexy and has a sausage-like shape or irregular shape, with light tenderness and limited activity. The mass is reduced after drainage. After the liquid is accumulated, it increases again.
Examine
Tubal cyst examination
Water (liquid) check:
The tubal is connected to the uterine cavity of the examinee by a tube, and then 20 ml of the syrup is injected through the tube. The syrup is usually physiological saline plus antibiotics. The syrup flows from the uterine cavity through the fallopian tube and finally to the pelvis. In the process of water injection, if all the 20ml solution can be injected smoothly and without resistance, no liquid is returned to the syringe after the needle is loosened, suggesting that the solution has passed through the uterine cavity and the fallopian tube into the abdominal cavity, indicating that the fallopian tube is unobstructed; Large, after relaxing the needle tube, more than 10ml of solution is returned to the syringe, indicating that the fallopian tube is blocked; if there is resistance, it can still inject most of the liquid, only a small amount of reflux, indicating that the fallopian tube is not smooth.
Fallopian tube angiography:
X-ray hysterosalpingography can see the size and shape of the uterine cavity and the shape of the fallopian tube from the fluorescent screen and X-ray photographs.
For the patency, the image extends beyond the port of the fallopian tube, and the diffusion of the contrast agent in the pelvis can be seen simultaneously on the X-ray film. If there are symptoms of tubal blockage, the location, extent and nature of the fallopian tube can be clearly indicated. This method can also identify endometrial conditions, tubal and pelvic tuberculosis, and is the most reliable method for diagnosing tubal patency.
Laparoscopy:
Through the uterine catheter into the uterine cavity into the pigment solution such as methylene blue, laparoscopic observation of the US blue through the fallopian tube end of the umbrella into the pelvic cavity, that is smooth; if there is blockage of the proximal end of the fallopian tube (the tubal interstitial and isthmus), then see Meilan liquid overflows into the abdominal cavity through the end of the fallopian tube; if the distal end of the fallopian tube is blocked (the tubal abdomen and the umbrella part), the umbrella end of the fallopian tube is thickened and blue-stained, but no blue fluid flows from the end of the fallopian tube and flows into the abdominal cavity. It can be considered that the fallopian tube is blocked.
Diagnosis
Diagnosis and differentiation of fallopian tube cyst
1, the systemic symptoms are not obvious, there may be one or both sides of the lower abdomen bulge, backache and other symptoms, often tired, sexual intercourse, menstrual period increased.
2, may have a medical history.
3, through the gynecological routine examination: genital examination, vaginal examination, cervical examination, uterus and attachment examination. Gynecological B-ultrasound examination: can promptly check out uterine tumors, pelvic inflammatory disease or abscess can be found and confirmed.
4, generally have a history of acute pelvic inflammatory disease.
