Pelvic adhesions are seen in chronic pelvic inflammatory disease, endometriosis, uterine fibroid surgery, etc. The treatment varies.
1. Chronic pelvic inflammatory disease: the treatment methods include medication and surgery.
(1) Drug treatment: commonly used drugs are antibacterial drugs, such as levofloxacin, metronidazole, etc., which are used to remove pathogens, improve symptoms and reduce sequelae.
(2) Surgical treatment: Surgical methods are categorized into surgery with preservation of ovarian function, total hysterectomy and double adnexectomy. Young women should try to preserve their ovaries, and older patients with bilateral adnexal involvement are suitable for total hysterectomy and double adnexectomy.
2. Endometriosis: Treatment includes medication and surgery.
(1) Pharmacological treatment: non-steroidal anti-inflammatory drug ibuprofen is used to relieve pain symptoms, kynurenine can be used to relieve dysmenorrhea symptoms, mifepristone can make the lesion shrink, and treprostinil and so on are used to inhibit the ovarian function and inhibit the endometrial hyperplasia.
(2) Surgery: Conservative surgery is suitable for young patients who are ineffective in drug treatment; semi-radical surgery is suitable for patients under 45 years old with obvious symptoms; radical surgery is suitable for severe patients over 45 years old.
3. Surgery for uterine fibroids: make full preparation before surgery, operate carefully during surgery, and take good care of the uterus after surgery in order to avoid the occurrence of pelvic adhesion.
If pelvic adhesion is diagnosed, it is recommended to consult a doctor in time, identify the cause of the disease with the help of the doctor, and actively treat the disease under his/her guidance.