pelvic inflammatory mass
Introduction
Introduction to pelvic inflammatory mass Inflammation of the pelvic inflammatory mass for female pelvic organs has not been treated regularly, and chronic inflammatory histological changes of the pelvic cavity occur, resulting in pelvic inflammatory masses. basic knowledge The proportion of sickness: 0.003%-0.005% Susceptible people: women Mode of infection: non-infectious Complications: salpingitis
Cause
Causes of pelvic inflammatory mass
(1) Causes of the disease
The vast majority of pelvic inflammatory masses originate from acute salpingitis, causing adhesions of the fallopian tubes, ovaries, uterus, omentum and intestines to form a pelvic inflammatory mass.
(two) pathogenesis
The pelvic inflammatory mass can be used for the inflammatory secretions in the lumen of the fallopian tube to flow into the pelvic and abdominal cavity through the umbrella end, which causes pelvic peritonitis, inflammation around the ovary, and the urgency of the pelvic pain and inflammation, the degree of chronic inflammation, and the inflammation. Scope, the strength of pathogenic toxins is proportional to the extent of the disease. In theory, chronic pelvic inflammatory disease has a history of acute pelvic inflammatory disease, but in clinical practice, most chronic pelvic inflammatory disease has no history of acute pelvic inflammatory disease. In addition, with the improvement of people's cultural level and the increase of economic ability, many patients take anti-inflammatory drugs at home, making many inflammatory diseases very atypical.
Prevention
Pelvic inflammatory mass prevention
1, to prevent all kinds of infections, keep the perineum clean, dry, clean the vulva every night with water, do a special basin, do not wash the vagina with your hands, or wash the vulva with overheated water, soap, etc.
2, pelvic inflammatory disease, more leucorrhea, thick and thick, should pay attention to observe the amount, quality, color and taste of leucorrhea. The amount of leucorrhea is large, the color is yellow, thick, and smelly and smelly, indicating that the condition is heavier. For example, the leucorrhea changes from yellow to white (or pale yellow), the amount is changed from small to small, and the taste tends to be normal (slightly sour), and the condition has improved. When you have more leucorrhea, you should change your underwear frequently, and don't wear tight-fitting, chemical-skinned underwear.
3, avoid eating fried greasy, spicy things.
4, some patients with chronic pelvic inflammatory disease, a little discomfort, self-administered antibiotics, long-term use can occur. Vaginal flora disorder, and caused by increased vaginal secretions, white slag-like vaginal discharge, at this time, should be Hospital visit, to rule out fungal vaginitis.
Complication
Pelvic inflammatory mass complications Complications salpingitis
Adhesion to the uterus and surrounding tissues.
Symptom
Pelvic inflammatory mass symptoms Common symptoms Pelvic mass pelvic mass vaginal discharge increased upper abdominal cystic mass abdominal pain dull pain
Patients often have the clinical manifestations of acute salpingitis. Symptoms of anti-inflammatory drugs can be relieved. Symptoms include lower abdominal pain, fever, vaginal bleeding. Patients usually have increased vaginal discharge. Later, lower abdominal pain is relieved. When the pelvic mass increases. Pain increased, but can endure, manifested as dull pain and dull pain in the lower abdomen, inflammatory capsular pelvic inflammatory disease, abdominal pain will also increase in the menstrual period, but not as obvious as dysmenorrhea caused by endometriosis.
Gynecological examination: pelvic inflammatory masses are often on the side or both sides of the uterus (more common on one side). The open ligaments touch the inactive mass. If they are attached to the uterus, the outline of the uterus is unclear during the double diagnosis. The cyst is not uniform, can be cystic or cystic, the boundary is unclear, and the degree of clinical manifestation is inconsistent, that is, the pelvic examination considers the lesion to be heavier, while the patient feels less pain, and the pelvic lesion of the endometriotic cyst is Contrary to the clinical manifestations, the doctor only touched a small ectopic cyst, but the patient felt heavier.
The patient had no history of pelvic mass, and had symptoms and signs of acute salpingitis. Then there was a pelvic mass, and the shape of the tumor was irregular, cystic or cystic, with poor mobility and tenderness, plus various laboratory tests. Check to make a diagnosis.
Examine
Examination of pelvic inflammatory mass
1. Blood routine indicates that the white blood cell count is increased, the erythrocyte sedimentation rate is increased, >40mm/h, and the blood and erythrocyte sedimentation rate is sometimes in the normal range after a long course of disease.
2. Bacterial culture.
3. Drug sensitivity test.
4. Laparoscopy is helpful for the diagnosis of pelvic mass. The pelvic B-mode ultrasound examination reveals a mass on one side or both sides of the uterus. The outline is unclear, there is a dense echo around, there is no echo in the mass, and the mass has a boundary with the uterus.
Diagnosis
Diagnosis and diagnosis of pelvic inflammatory mass
diagnosis:
The patient had no history of pelvic mass, and had symptoms and signs of acute salpingitis. Then there was a pelvic mass, and the shape of the tumor was irregular, cystic or cystic, with poor mobility and tenderness, plus various laboratory tests. Check to make a diagnosis.
Differential diagnosis:
It needs to be differentiated from pelvic adhesion caused by endometriosis, and pelvic abscess, ovarian cyst (tumor) pedicle torsion.
