Friday, January 11, 2008

Patients suffering from chronic pelvic inflammatory disease,

Ectopic pregnancy is a common gynecological acute abdomen, as well as one of the major causes of maternal mortality. In recent years, the incidence of ectopic pregnancy increasing the lead to ectopic pregnancy risk factors has been people's increasing attention. 95% of ectopic pregnancy in the fallopian tube. Normal delivery tubal ovum is mainly dependent on tubal mucosa and smooth muscle cells in normal activities. Ovarian after ovulation, conception of the role of hormones, egg official contraction lose strength, its umbrella-suction tube to the egg, eggs and transferred to the fallopian tube and the ampulla of the isthmus linking, if the egg from within 24 hours encountered sperm will pregnancy. For a variety of reasons to make gestation blocked fallopian tube, tubal pregnancy can occur. Pelvic inflammatory disease, chronic salpingitis is the most common interference with the normal operation of the fertilized eggs, tubal pregnancy is common and the main reason. Chronic pelvic inflammatory disease (including patients with pelvic surgery), Salpingitis persons with chronic pelvic inflammatory disease is the most common interference with the normal operation of the fertilized eggs, ectopic pregnancy is common and the main reason. Salpingitis cause is the cause of major cause of sexually transmitted disease pathogens, it is common to have Chlamydia trachomatis and Neisseria gonorrhoeae. So Endosalpinx inflammatory adhesion, narrow, irregular, these pathological changes lead to tubal wall muscles weakened peristalsis, thus affecting the delivery of gestation. Gestation in the fallopian tubes were blocked, which may be developed in situ implantation, tubal pregnancy occurred. With this, and also pelvic surgery on ectopic pregnancy, with the increase in the number of operations performed, the risk of ectopic pregnancy has increased significantly. In ovarian cystectomy and tubal angioplasty example, the risk of ectopic pregnancy were 2.9 times and 5.9 times. Ectopic pregnancy is once again the probability of occurrence of ectopic pregnancy higher. Ectopic pregnancy tubal reservations treatment, the recurrence of the proportion of ectopic pregnancy, but often repeat ectopic pregnancy occurred in the contralateral tubal, suggesting that both sides may exist with tubal a potential dysfunction.

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