Aug 1, 2008

Application of tubal angiography

Tubal re-intervention is the use of a special catheter and guide wire from the uterus into the vaginal cavity further into the oviduct, where appropriate re-sliding back and forth. So do not have to have surgery, trauma small, safe, without the advantages of hospitalization, has gradually become clinical treatment of infertility and tubal occlusion method of choice.

Tubal could not have three conditions:

The first: fallopian tube-and impeded

The reason is the cause of a slight inflammation adhesion or too thin tube bending.

Treatment:

The first step,-water (liquid) of: repeatedly injected into the uterine cavity can clear up some anti-inflammatory drugs, can also be found through the hysteroscopic tubal openings, at the tubal injection of drugs, treatment better (in fact, injected into the oviduct Water but not antibiotics, hormones, protein hydrolysis Meideng drugs). After the drug into the fallopian tube and tubal direct contact with lesions, reduce local congestion, edema, inhibiting the development of fibrous tissue formation and to remove inflammatory, to dissolve the adhesive to soften, and through injection of pressure from adhesions.

Time: This method generally clean in the period after 3-7 days, an injection every 2-3 days, 2-3 consecutive treatment cycles.

The second step, conditioning the resumption of tubal features:-liquid after the laparoscopic operation or the effect of separation at that time (within a few days after surgery) is-rate is 90 percent, but this operation is the principle of physical therapy, The results of my friends are all feedback is: to the hospital by liquid-operation can only be temporary-and not without check-in two days again, where is the real reason «fundamental reason for this is that this method of physical therapy Just treating the symptoms not the root cause, the fundamental rule was dead. Must pay attention to whether the fallopian tubes can resume their functions, because nature has not been reached on the resumption of genuine will, of course, there a few days-is not the case. Only a fundamental conditioning of women's gonadal inherent nature of this secretion can be a final settlement of tubal occlusion unreasonable. Taking the "send-Andean capsule", "Huang to promote women in the hormone and follicle hormone secretion, in the follicles under the influence of hormones, and promoting material gonad stimulating the growth of ovarian estrogen, and the yellow of the common role of hormones, lay eggs and Secrete progesterone. Estrogen tubal system to help restore sexual development, progesterone determine the integrity of cells and thus clear the fallopian tubes, the elimination of tubal adhesions, and tubal repair the damage caused by inflammation, and create a suitable environment within the surrogate's uterus to improve fertilized eggs Implantation rate.

Time: taking normally take 1-3 months (a course), depending on the physical, menstrual do not have to stop serving.

After the treatment of patients, the general inflammation can be cured, thus restoring the function of pregnancy, most women can have children's.

The second situation is a result of tubal damage caused by blocking a lesser extent unreasonable,

Treatment:

The first step, surgical treatment:

Tubal outside adhesion, pulling the fallopian tubes; damage to a lesser extent, it is normal for most of fallopian tube. This type must be handled through the implementation of surgery. Different parts of obstruction, surgical treatment is not the same.

1, the release of tubal adhesions: If the outside tubal adhesions were surrounded by laparoscopic be cut decomposition can be separated out some of adhesion, the liberation of the fallopian tubes tied, this method is called "release of tubal adhesions."

2, the loser eggs Palace transplantation: surgical method is through the use of microsurgical techniques to achieve tubal patency. Is the removal of a section of tubal occlusion will re-open part of the uterus to grow Corner. (Now because of the intervention operation carried out, such surgery is no longer commonly used.) (Inter-Ministry of obstruction)

3, re-intervention of: tubal re-intervention is the use of a special catheter and guide wire from the uterus into the vaginal cavity further into the oviduct, where appropriate re-sliding back and forth. So do not have to have surgery, trauma small, safe, without the advantages of hospitalization, has gradually become clinical treatment of infertility and tubal occlusion method of choice. However, should note that the use of intervention methods open up the fallopian tube of the Department of the channel opened up, we must pay attention to whether or not to resume its functions, as if the loss of function, may lead to ectopic pregnancy, such as after. (Mesenchymal Department obstruction)

4, tubal anastomosis: If tubal occlusion which part of the unreasonable, may be cut off, and then yet another series of health at both ends, this approach is called "tubal anastomosis." In addition, after the tubal ligation can choose tubal re-anastomosis. (Isthmus obstruction)

Generally speaking, better-performing anastomosis, surgical rehabilitation-the success rate of about 50 to 80 percent.

5, fallopian tube was performed: Some tubal mouth has been closed, tubal endocrine from the liquid and not due to plot Intracavity a lot of liquid storage and swell, known as "Hydrosalpinx." Stagnant water in the fallopian tube re-open a skylight above, Fangdiao liquid, and then the construction of a tubal trumpet, this method known as "tubal was performed." Also in the umbrella-the original unjustifiable create a blind-side opening so that the eggs can be Shidao in the fallopian tube. (Isthmus of stagnant water, the umbrella Department of stagnant water or occlusion)

Step 2: the function of convalescence after surgery Conditioning:

Tubal after the restoration of functional ability is very important, the purpose of the operation through the operation of its functions to lift the obstacles, only to make women from all of the inherent nature of the gonad secretion can ultimately resolve the problem of tubal occlusion unreasonable. Huang to promote women in the hormone and follicle hormone secretion, in the follicles under the influence of hormones, and promoting material gonad stimulating the growth of ovarian estrogen, and the yellow of the common role of hormones, lay eggs and secrete progesterone. Estrogen tubal system to help restore sexual development, progesterone determine the integrity of cells and thus clear the fallopian tubes, repair, because of tubal damage caused by the disease, and create a suitable environment within the surrogate's uterus to improve the implantation of fertilized eggs.

Time: taking normally take 1-3 months (a course), depending on the physical, menstrual do not have to stop serving.

Note: The tubal occlusion and the poor-and unreasonable after the general oral, or external, such as promoting blood circulation Relieving Blood Stasis enema, Qingrejiedu such as Chinese medicine can only be the role of microcirculation hemorheology nature of the function to tubal Will not achieve key role in restoring basic functions can not be resumed on the conception process can not be completed. So many of these through or after pregnancy, is this reason.

The third situation is unreasonable tubal occlusion, and serious lesions

This situation, on the current level of China's medical terms, it is difficult to restore fertility.

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