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盆腔积液的病因有哪些?What are the causes of pelvic effusion?

  • 来源:xjat
  • 作者:xjat
  • 更新日期:2019-04-21 21:19
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陈凤林教授指出:妇科盆腔积液的病因可分为生理性和病理性。Professor Chen Fenglin pointed out that the etiology of gynecological pelvic effusion can be divided into physiological and pathological factors. 1生理性的盆腔积液:1. Physiological p

陈凤林教授指出:妇科盆腔积液的病因可分为生理性和病理性。Professor Chen Fenglin pointed out that the etiology of gynecological pelvic effusion can be divided into physiological and pathological factors.

1生理性的盆腔积液:1. Physiological pelvic effusion:

①女性的盆腔通过输卵管伞与外部相通,正常生理情况下,腹膜会分泌一定的液体起到润滑脏器的作用,同时也含有白细胞和抗体起防御功能;

The pelvic cavity of women communicates with the outside through the fallopian tube umbrella. Under normal physiological conditions, the peritoneum secretes a certain amount of fluid to lubricate the organs, but also contains white blood cells and antibodies to play a defensive role.

②女性排卵后的卵泡液

(2) Follicular fluid after ovulation in women

③月经期少量经血经输卵管返流至盆腔;

(3) A small amount of blood returned to the pelvic cavity through the fallopian tube during menstruation;

④宫腔镜检查后的膨宫液,腹腔镜手术后的冲洗液

(4) Hydrocele after hysteroscopy and lavage after laparoscopic surgery

一般深度在3~5cm,女性经期和排卵期可能还要深一些,不用紧张,甚至B超医生都可以不报告。这些多可自然消失,不必进行治疗。

Generally, the depth is between 3 and 5 cm. Women's menstruation and ovulation may be deeper. They need not be nervous. Even B-mode ultrasound doctors can not report it. Most of these can disappear naturally without treatment.

2、病理性的盆腔积液:2. Pathological pelvic effusion:

① 多是盆腔炎附件炎或子宫内膜异位症引起的。盆腔炎附件炎的原因多与患者不良卫生习惯有关:经期、产褥期不洁性生活;妇科手术后洗盆浴等;人工流产、引产各种手术消毒不严引起的医源性感染。

Most of them are caused by pelvic inflammatory adnexitis or endometriosis. The causes of pelvic inflammatory adnexitis are mostly related to patients'bad hygienic habits: unclean sexual life during menstruation and puerperium; pelvic bath after gynecological surgery; iatrogenic infection caused by inadequate disinfection of miscarriage and induced labor.

② 也可能由结核或者肿瘤引起的。

(2) It may also be caused by tuberculosis or cancer.

③ 少数因宫外孕破裂、黄体破裂、盆腔脓肿、巧克力囊肿、卵巢癌、卵巢过度刺激综合症等引起。

(3) A few cases were caused by rupture of ectopic pregnancy, rupture of corpus luteum, pelvic abscess, chocolate cyst, ovarian cancer and ovarian hyperstimulation syndrome.

外科因素:肝脾破裂,胃肠穿孔,腹腔器官炎性渗出等

Surgical factors: rupture of liver and spleen, gastrointestinal perforation, inflammatory exudation of abdominal organs, etc.

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