With the widespread use of B -ultrasound, especially using vaginal B -ultrasound examination, many women’s B -ultrasound reports during the physical examination can see the report saying "uterine rectal (trap) hydraulus" and "pelvic cavity" and "pelvic cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity cavity can be seenThe word "effusion".At this time, the doctor of seeing a doctor or a medical examination will explain to you: The uterine rectal effusion is the pelvic effusion, and the pelvic effusion is pelvic inflammatory disease.If you accept the doctor’s explanation, then one after another is a series of antibiotics for treatment.After treating the "one course of treatment", the B -ultrasound is reviewed. The B -ultrasound test report found that the "effusion" is gone. The doctor who treats you said that the "pelvic inflammatory disease" was cured.In fact, even if you do not receive "treatment", the "effusion" will absorb the "effusion" by yourself due to the absorption function of the peritoneum after 1-2 weeks.However, if you can’t spend a long time, you can do a B -ultrasound when you are a chance (for example, for menstruation), and you will also find "pelvic effusion".You will naturally think: Didn’t he cure pelvic inflammatory disease before?Why are there a pelvic effusion?I really can’t figure it out!
Is there effusion with uterine rectal nests? Is it pelvic inflammatory disease?Why does there be effusion in the pelvic cavity?
This first lets us start with anatomy.The so -called "uterine rectal nest" is moved from the anterior wall of the rectum to the back of the vagina, and then moved forward to cover the cervix and the posterior wall of the uterus, forming the depression between the rectal and the uterine.The uterine (trap) nest is often written as "uterine rectal nest" or "uterine rectal trap" in the B -ultrasound report.Therefore, the uterine rectal nest is a "nest" formed by the peritoneum.This uterine rectal nest is at the lowest point of the peritoneal cavity when lying flat, so it becomes "nest".The liquid in the abdominal cavity will flow into this minimum when lying on the flat, and the capacity of this "nest" is very small. As long as there is a 2-3 ml liquid, it can be detected in the uterine rectal nest."" ".
Overseas membrane has absorption and secretion function.Under normal circumstances, there is a little slurry in the peritoneal cavity to reduce friction between the abdominal organs.If a large amount of liquid is secreted in a morbid state, ascites can occur.
The peritoneal also has defense function, which contains white blood cells and some antibodies in the peritoneal fluid.Because women’s abdominal cavity is through the end of the fallopian tube umbrella and abdominal exterior, the pathogen of the outside world, and even the small particles of the outside world may enter the abdominal cavity through the vaginal-cervical-uterine cavity-fallopian tube. In order to prevent the invasion of external objects, womenThe abdominal cavity needs to secrete a certain amount of abdominal liquid to fight foreign objects that invade external invasion.
On the other hand, because the surface of the ovary is not covered with peritoneal, the ovarian ovulation will ovulate every month, and the follicles will be excreted into the abdominal cavity when the follicles are ruptured, and it is gathered in the uterine rectal nest.EssenceSimilarly, when menstruation is tide every month, menstrual blood can also enter the fallopian tube from the uterine cavity, thereby "reverse" into the abdominal cavity.
Therefore, in general, the B-ultrasound detects the "effusion" of 20-30mm in the uterine rectal nest.These "effusion" may be a normal abdominal cavity (used as defense) secretion, or may be a follicular fluid after ovulation, and may be a small amount of menstrual blood in the backflow.
If the uterus rectal nest is detected for the first time, there are a small amount of "effusion" (20-30 ml), and you don’t need to be too nervous, and you don’t need to "treat" immediately.Move your own brain first: Consider whether it is
(1) Just after ovulation, the "effusion" is the follicular fluid;
(2) The tide of menstruation has just been clean, and the "effusion" is caused by a small amount of measide flow;
(3) Regular constipation, repeated pain in the lower abdomen from time to time, and if you want to stool, you will not abdominal pain after the stool.This is because the intestinal peristalsis causes a small amount of intestinal fluid to increase the intestinal liquid.
If there is the above situation, you do n’t have to rush to take medicine. After 1-2 months, you can review the B-ultrasound 1-2 months after the cleaning and stool as soon as possible, and compare it.Generally speaking, a small amount of effusion in the pelvic cavity is not a disease, and a small amount of pelvic effusion can be absorbed by itself.If the effusion of the pelvic disease, the amount of effusion will be above 100 ml, and the pelvic effusion caused by tuberculosis peritonitis is the most obvious. A large number of ascites can be detected in the B -ultrasound.
It is worth mentioning that if infertility women who are being treated with ovulation treatment are being treated with ovulation treatment, there will be more pelvic effusion during the medication, and even ascites are formed, but doctors who treat infertility will determine whether to treat treatment according to the effusion.And how to treat.You must conduct B -ultrasound in accordance with the doctor’s arrangement.
