Empyema
Introduction
Introduction to uterine empyema Uterine empyema is easily overlooked or misdiagnosed because it is rare, and can be seen in elderly women or endometrial cancer patients and after intrauterine radiation therapy and after cervical and intrauterine surgery. Patients with endometrial cancer, post-uterine radiation therapy, and women after cervical and intrauterine surgery may have lower abdominal pain, with fever, chills and other systemic symptoms. During gynecological examination, the uterus is spherically enlarged, soft, tender, and tender. basic knowledge The proportion of illness: 0.0003% Susceptible people: more common in older women Mode of infection: non-infectious complication:
Cause
Cause of uterine empyema
(1) Causes of the disease
Cervical obstruction caused by acute or chronic endometritis, such as uterine inflammatory secretions can not be outflow or poor drainage, can form uterine empyema.
(two) pathogenesis
Causes of cervical stenosis obstruction may be related to cervical malignant tumors, especially after radiotherapy, cervical electrocautery, frozen or cervical conization, severe chronic cervicitis, scar formation caused by vaginitis, and cervical atrophy in older women The secretions that block the siltation and the growth of the pathogens in the cancer tissue are difficult to be discharged.
Prevention
Prevention of uterine empyema
1. Early diagnosis and active treatment of infectious diseases: For patients with malignant diseases, the three-level prevention work for cancer patients should be done well.
2. Preventive measures:
(1) Strengthen the health education for postmenopausal women.
After the childbearing age enters the old age, due to the atrophy of the reproductive organs, the function of ovarian secretion of estradiol stops, and the immune function also gradually declines, so elderly women are prone to gynecological diseases. In addition, elderly women are unresponsive and insensitive to symptoms, so the disease is concealed, the symptoms are not typical, and it is easy to be misdiagnosed and missed.
1) Strengthen the health awareness of elderly women, regularly check the body, take a bath, change underwear frequently, keep the vulva clean and dry.
2) Remove the intrauterine device during the perimenopausal period and seek medical advice if there is any discomfort.
3) routine routine gynecological examinations, pay attention to control their own diseases such as diabetes.
Complication
Complications of uterine empyema Complication
Concurrent follicular, urinary, vaginal infections.
Symptom
Symptoms of uterine empyema common symptoms abdominal pain purulent secretions uterine empyema chills uterine tenderness uterine cavity separation
In patients with endometrial cancer, after intrauterine radiation therapy and after cervical and intrauterine surgery, women may have lower abdominal pain, accompanied by fever, chills and other systemic symptoms, but the uterine empyema gradually formed due to chronic endometritis may also be Obvious symptoms.
Gynecological examination can be found that the uterus is spherically enlarged, soft, tender, tender, and the connective tissue of the uterus can be significantly thickened, and the inflammatory mass of the accessory can be present at the same time. The purulent discharge can be seen in the cervical canal.
If older women have the above conditions, they should especially think of the presence of uterine empyema.
Examine
Examination of uterine empyema
The white blood cell count is elevated and neutrophils are increased.
1. Histopathological examination.
2. B-mode ultrasonography showed an increase in the uterus, a dark dark area in the uterine cavity, and a strong light spot inside.
3. Laparoscopy, hysteroscopy.
Diagnosis
Diagnosis and diagnosis of uterine empyema
When the uterine cavity probe is injected into the uterine cavity, the diagnosis can be established if there is pus outflow, but the uterine cavity tissue should be taken at the same time to understand the presence or absence of malignant tumors. Sometimes, due to the scar of the cervical canal, the lumen is curved and explored. The needle is not easy to insert, so it requires patience.
Identification with acute cervicitis, acute endometritis.
