Ovarian inflammation and infertility.

Ovarian inflammation in women with pelvic inflammatory disease within the scope. Inflammation is specific and non-specific inflammation distinction. This section describes the main non-specific inflammation of ovarian. As bacterial infection caused ovarian inflammation, it can produce ovarian adhesions, ovarian tubal parcels, tubal ovarian abscesses and tubal obstruction, ovarian anovulatory serious consequences, resulting in infertility. Cause -- As defense mechanisms have been destroyed or low resistance, invasive pathogens, Streptococcus pathogens are, Staphylococcus aureus, Escherichia coli and anaerobic bacteria (Streptococcus digest and absorb bacteria, Bacteroides fragilis), the first tubal disease, after Tubal spread along the ovary to produce ovarian periarthritis, ovarian adhesions, the severe form of tubal and ovarian abscess; the first involved or uterine inflammation, spread beside Uterus after ligament and the connective tissue, tired and ovarian and fallopian tube. ??Ovarian clinical manifestations -- a non-specific inflammation of acute and chronic inflammation of ovarian ovarian inflammation, the former than the latter rare. but often contains ovarian inflammation in the pelvic inflammatory disease, and they often following clinical signs and symptoms : acute may have a fever, abdominal pain (was it dull. without it to the Department radiotherapy), lumbosacral pain, constipation flu anus; chronic who will be included in the symptoms of chronic pelvic inflammatory disease, if lumbosacral discomfort or pain, constipation anus flu, fatigue, anorexia, fatigue, body, spirit poor, menstrual change (mostly by increased volume), or even lower-abdominal mass; gynecological examination : those who have acute pain in the lower abdomen and tension, anti-throbbing, cite cervical pain, posterior fornix satiated and annex areas can sometimes touching tenderness Obviously, the border unclear, the soft mass; chronic who may have tenderness in the lower abdomen, thickening of the annex area, or even mass, etc. signs. There is another important is the performance of infertility, pelvic inflammatory disease because the reproductive tract disease caused increased secretion of inflammatory, affect sperm viability and activities; Tubal and water, leading to the sperm and ovum can not meet; ovarian parcels lead to adhesions or tubal anovulatory not pick up eggs; destruction of ovarian function, resulted in ovulation and menstrual disorders have. ??Auxiliary -- the acute phase, after fornix puncture exudative fluid or abscess had to choose, B-downlink or ovarian cyst pyometra secretions; or the puncture liquid out for training, to identify Streptococcus Staphylococcus aureus and other pathogens. Chronic who laparoscopy is feasible it is clear diagnosis, endoscopic common to : ovarian surface increases or edema or ischemia, or adhesion, membrane-like surface coverage; ovarian with fallopian tube wall pots, the posterior wall of the uterus adhesion formation, or the foreseeable ovarian tubal adhesions parcels together; there were ovarian abscess ovarian surface can be seen septic moss, ovarian increased significantly. Treatment -- mainly for drug treatment. Acute line antibiotic therapy, if abscess had puncture fluid and sensitivity training, the use of antibiotics is better; if ovarian around tubal adhesions or ovarian parcels may consider laparotomy or laparoscopy adhesion of decomposition. We believe that laparoscopic decomposition postoperative adhesions, intraperitoneal infusion molecular dextran 500ml better effect. If ovarian abscess or tubal ovarian abscess, after antibiotic treatment ineffective, it may consider surgical treatment. resection of the affected annex, annex contralateral reservations, they can retain their reproductive functions. In short that should be retained and the establishment of the reproductive function of surgery.