How to check for fallopian tube adhesions
Fallopian tube adhesion is one of the common causes of female infertility, and timely and accurate examination is crucial for diagnosis and treatment. The following is the detailed content about fallopian tube adhesion examination, combined with the hot topics and hot data on the entire network in the past 10 days, to provide you with structured information.
1. Common examination methods for fallopian tube adhesions
| Check method | Principle | Advantages | Disadvantages |
|---|---|---|---|
| Salpingography (HSG) | Observe fallopian tube patency with X-ray contrast agent | Non-invasive, low price | May cause mild pain |
| Contrast-enhanced ultrasound (HyCoSy) | Injecting contrast agent to observe the fallopian tube under ultrasound | No radiation, real-time imaging | High technical requirements for operators |
| Laparoscopy | Direct observation of fallopian tube morphology | Gold standard for diagnosis and simultaneous treatment | Requires anesthesia and costs more |
| hysteroscopy | Observe the uterine cavity and fallopian tube openings | Intuitive and biopsiable | Unable to evaluate the entire fallopian tube |
2. Precautions before inspection
1.Check time: 3-7 days after menstruation is appropriate, avoid checking after ovulation.
2.Contraindications: Patients with acute genital tract inflammation, pregnancy, and severe cardiopulmonary disease are not suitable for examination.
3.Preparation: Sexual intercourse is prohibited 3 days before the examination, and routine leucorrhea examination is required to rule out infection.
3. Comparative data of different inspection methods
| Project | HSG | hiCoS | Laparoscopy |
|---|---|---|---|
| Accuracy | 85% | 90% | 95% |
| Fee (yuan) | 500-1000 | 1500-2500 | 8000-15000 |
| recovery time | 1 day | 1 day | 3-7 days |
| Risk of complications | low | extremely low | in |
4. Grading standards for fallopian tube adhesions
According to the latest clinical guidelines, fallopian tube adhesions can be divided into the following grades:
| Grading | Description | natural conception rate |
|---|---|---|
| Mild | The fimbriae of the fallopian tube are slightly adhesions and the lumen is unobstructed | 30-40% |
| Moderate | Partial lumen adhesions block the passage of contrast agent | 10-20% |
| Severe | Complete occlusion or extensive adhesions | <5% |
5. Precautions after inspection
1.Postoperative care: Avoid bathing and sexual intercourse within 2 weeks after the examination, and pay attention to personal hygiene.
2.drug use: Doctors may prescribe antibiotics to prevent infection, which need to be taken on time.
3.Review time: If you choose surgical treatment, it is recommended to review the effect 3 months after surgery.
6. Latest Treatment Progress
According to the medical hot spots in the past 10 days, there are the following new developments in the treatment of fallopian tube adhesion:
1.stem cell therapy: Clinical trials show that mesenchymal stem cells can improve the fallopian tube microenvironment.
2.3D Laparoscopic Technology: Provide a clearer surgical field of view and improve the accuracy of adhesion separation.
3.biological barrier materials: Postoperative application can reduce the incidence of re-adhesion by about 40%.
7. Frequently Asked Questions
Q: Will the examination be painful?
A: Most people only have mild discomfort. The degree of pain is related to the patency of the fallopian tube. Those with complete obstruction may feel significant pain.
Q: How long after the test can I prepare for pregnancy?
A: It is recommended to wait for 1 menstrual cycle after angiography; after laparoscopic surgery, it depends on the specific situation, usually 2-3 months later.
Q: Are there any radiation effects during the examination?
A: The amount of X-ray radiation from HSG is very small, equivalent to 1/5 of a chest X-ray, and will not affect subsequent fertility.
Through the above detailed analysis, I hope it can help you comprehensively understand the detection methods of fallopian tube adhesions. It is recommended to choose the appropriate examination plan according to personal circumstances under the guidance of a professional doctor.
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