在盆腔脏器中,输卵管是容易发生炎症的且极少局限,多同时并发卵巢炎症,因此,临床上常称之为子宫附件炎(adnexitis)。 另外,除输卵管、卵巢外,多伴有周围盆腔腹膜和子宫旁结缔组织的炎症,而按盆腔炎性疾病(PID)处理。 一、输卵管炎的下腹痛特点 急性输卵管炎表现为患侧下腹部持续性绞痛,一般为固定性疼痛,多伴有腰痛。常先有发热,而后出现疼痛。病灶一般位于深部,而被肠管和大网膜等所覆盖,因而有时腹壁肌抵抗不明显。但双合诊时,病灶部位有剧烈压痛。右侧输卵管炎要与阑尾炎相鉴别。阑尾炎不仅有自发痛,且压痛也重,麦氏点压痛尤为显著。阑尾炎时白细胞增多明显,腹膜刺激征亦明显。 In pelvic organs, fallopian tubes are prone to inflammation and very few limitations, often accompanied by ovarian inflammation, therefore, clinically often referred to as adnexitis. In addition, in addition to the fallopian tubes, ovaries, mostly accompanied by peripheral pelvic peritoneum and para-uterine connective tissue inflammation, but according to pelvic inflammatory disease (PID) treatment. First, the salpingitis characteristics of lower abdominal pain Acute salpingitis manifested as ipsilateral abdominal persistent colic, usually fixed pain, accompanied by low back pain. Often have a fever, then pain. Lesions are generally located in the deep, but was covered by the intestine and omentum, etc., and sometimes not obvious abdominal wall muscle resistance. However, double joint consultation, the site of severe pain tenderness. Right salpingitis and appendicitis phase identification. Appendicitis is not only spontaneous pain, and tenderness is also heavy, Max’s tenderness is particularly significant. Appendicitis increased leukocytosis, peritoneal irritation sign is also obvious.