1, surgical treatment
(1) Its mechanism is mainly to remove the cause of intrauterine empyema.
(2) If the residue is caused by placenta or fetal membrane, it can be removed by curettage.
(3) If it is caused by endometrial polyps or submucosal fibroids, the polyps and fibroids should be surgically removed.
(4) If it is caused by a ring, take it in time. When the elderly patients have pyometra, they should scrape the uterine cavity and enlarge the cervix to facilitate drainage and smooth treatment. At the same time, it is worthwhile to use oral antibiotics to prevent recurrent infections. It should be noted that pelvic drainage should be placed during the operation, and broad-spectrum antibiotics should be used in the semi-supine position after the operation.
2. Hormone therapy
In the past, many surgeons gave estrogen and progesterone drugs after operation to promote the growth of endometrium. But there is also a problem. Because a large number of normal exogenous hormones enter the human body, negative feedback inhibits the production of endogenous hormones, which will affect the normal physiological state of the human body. Many patients received continuous administration of estrogen and progesterone after operation.
The cause of uterine cavity empyema The health of uterus is related to the health of women. Everyone should pay attention to the problems of uterus, especially the causes of gynecological diseases. So what are the causes of uterine cavity empyema?
Cervical obstruction caused by acute or chronic endometritis, such as uterine cavity inflammatory secretions can not be discharged or drainage is not smooth, can form uterine cavity empyema.
Cervical obstruction caused by acute or chronic endometritis has two necessary conditions:
1, purulent formation. It may be pushed at first. It may also be non-inflammatory exudate, hematocele and secondary infection.
2. Neck stenosis. Endometritis is the most direct cause of this disease. In fact, endometritis is not uncommon in young women, and empyema is rare, but the reason is that the cervix plays a very good role in the drainage process.
After menopause, the level of estrogen decreases, which leads to cervical atrophy, decreased gland secretion, decreased cervical and * * * functions, and retrograde invasion of pathological microorganisms from * * *, resulting in adhesion, stenosis or atresia of cervical canal, which eventually leads to pus accumulation in uterine cavity. Endometrial cancer invading the cervix or cervical cancer can lead to cervical stenosis or atresia, and then infection, making uterine cavity empyema necessary.
Examination and diagnosis of uterine cavity empyema When gynecological diseases occur, we must receive treatment in time. In the process of treatment, many doctors judge whether you have the disease or not according to your test results. So, what is the examination and diagnosis of intrauterine empyema?
1, white blood cell count increased, neutrophils increased.
White blood cell count increased and neutrophils increased.
2, other auxiliary inspection
(1) Histopathological examination.
(2)B-ultrasound showed that the uterus was enlarged, and there were dark areas and bright spots in the uterine cavity.
(3) Laparoscopic hysteroscopy.
Uterine probe examination In general, the distance between the uterine probe and the cervix is about 1-3 cm, which is a sense of resistance, and the most common is about 2 cm. According to the different resistance of uterine cavity, only the probe of uterine cavity abscess is easy to insert. In order to insert the probe, empyema should be slightly forced towards the uterus.
Treatment and nursing of uterine cavity empyema The incidence of uterine cavity empyema is still very high, so it must be treated with caution. When it appears, we must receive treatment. So, what are the treatment and nursing methods for uterine cavity empyema?
The most effective way to treat uterine empyema is to dilate the cervix and let the pus flow out fully. In order to prevent the cervix from blocking again, a drainage tube can be placed in the cervix. At the same time, rinse the uterine cavity with antibiotic solution every day until the liquid is clear. If there is still fever and leukocytosis after treatment, antibiotics can be injected orally or intramuscularly through intravenous drip.
The causes of cervical stenosis and obstruction may be related to cervical cancer, especially radiotherapy, electrosurgical excision procedure, cervical freezing or conization, severe chronic cervicitis, scar formation caused by inflammation, neck atrophy of elderly women and so on. Blocking the secretion of sediment and the proliferation of cells in cancer tissue is difficult to discharge.
1, expanded with an expansion rod, and expanded after releasing the intrauterine device. However, this operation is blind, can not restore the original uterine cavity shape, and the incidence of recurrent purulent infection is high.
2, hysteroscopy diagnosis and treatment in one, some difficult gynecological diseases can be solved intuitively, simply and safely. For membranous empyema, myomatous empyema can be removed by hysteroscopy or surgical separation. For dense connective tissue-like adhesion, electrocautery separation should be performed under the monitoring of B-ultrasound or laparoscopy, and intrauterine devices should be placed after operation. IUD or protein gel can prevent the accumulation of pus, and make patients recover menstrual cramps to achieve the purpose of fertility.
Prevention and health care of uterine cavity empyema In life, if we can do these things, we can also prevent uterine cavity empyema. About the prevention and health care of intrauterine empyema, it's actually not that difficult.
Early diagnosis and active treatment should be carried out for infectious diseases. For patients with malignant diseases, tertiary prevention should be done for cancer patients.
In order to prevent women of childbearing age from entering the old age, due to the atrophy of reproductive organs, the function of ovarian secretion of estradiol stops and the immune function gradually declines, so elderly women are prone to gynecological diseases. In view of the pathogenesis of this disease, the following preventive measures are put forward:
1. Strengthen the health education of postmenopausal women, bathe frequently, change underwear frequently, and keep the vulva clean and dry.
2. Take part in physical exercise properly.
3. Keep a good mood and enhance immunity.
4. Take out the IUD in perimenopausal period. If you feel unwell, please seek medical advice.
5, routine gynecological examination routine, pay attention to control their own diabetes and other diseases.