The pathogens of acute salpingitis are gonococcus, Chlamydia trachomatis, mycoplasma and viruses. Non-specific pathogens include cocci, Escherichia coli and anaerobic bacteria. It is often a mixed infection of multiple pathogenic microorganisms. After miscarriage, postpartum and menstrual period, the systemic and local resistance is low, and infection prevention and control measures are not strict during invasive examinations or treatments, such as diagnostic dilation and curettage, cervicitis treatment, uterine fallopian tube drainage, and implantation in the clinic. Intrauterine device surgery, etc., can cause acute salpingitis. In addition, infection can also be caused by inflammation of adjacent tissues and organs, mainly reproductive tract inflammation, such as cervicitis, endometritis and other retrograde infections; it is also seen in suppurative appendicitis and peritonitis spreading to pelvic reproductive organs such as fallopian tubes. It can also be transmitted through sexual intercourse, such as unclean sexual intercourse, promiscuity, and sexually transmitted diseases from the husband to his wife repeatedly.
The lesions of acute salpingitis are mainly endometrial inflammation. If it comes from acute pelvic inflammatory disease, the lesions will be extensive. The fallopian tube and other tissues are congested and exuded, and the purulent exudate in the cavity flows into the pelvic cavity, causing pelvic peritonitis, and in severe cases, pelvic abscess; the inflammation spreads to the ovary, forming fallopian tube oophoritis or abscess; if the fallopian tube fimbriae is blocked by adhesion, it can form Pyosalpinx is more common in acute attacks of chronic inflammation. Pathogenic microorganisms can often be found in the exudates, pus and mucosal surfaces of acute inflammation.
Clinical manifestations include acute onset of lower abdominal pain and distension; frequent urination and painful urination; vaginal discharge that is pus and blood; may be accompanied by chills and fever, and may also include abdominal distension, constipation or diarrhea. If the disease occurs during the menstrual period or after a miscarriage, the amount of bleeding will increase and the menstrual period will be prolonged. There may be a history of gynecological diseases or sexually transmitted diseases. Signs may include high body temperature, accelerated pulse rate, muscle tension or resistance, tenderness, and rebound tenderness in the lower abdomen. Gynecological examination may reveal vaginal and cervical purulent discharge, cervical congestion, easy bleeding when touched, and severe pain. There is tenderness in the adnexal area, and a painful mass may be palpable. Posterior fornix puncture can remove a small amount of purulent fluid. The white blood cells in the blood are increased, the neutrophilic multinucleated white blood cells are increased, and the erythrocyte sedimentation rate is fast; the posterior fornix fluid test shows more white blood cells, and the cervical smear or culture may detect gonococcus, chlamydia trachomatis, etc.
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao