Clinical treatment principles of adnexitis

Adnexitis mainly includes gynecological diseases such as salpingitis, oophoritis, and pelvic inflammatory disease. The clinical treatment mainly follows the following principles.

1. Infection control principles

Regardless of the type of adnexitis, the first thing to do during treatment is to control the inflammatory infection and use strong, large amounts of antibiotics to reduce inflammation, such as cephalosporin, ampicillin, metronidazole, etc.

2. Principles of treatment based on classification

Acute pelvic inflammatory disease is a common type of inflammatory disease among adnexitis, which is mainly divided into two types: mild and severe. The treatment of mild acute pelvic inflammatory disease is mostly based on intravenous drip of penicillin, amikacin or metronidazole; the treatment of severe acute pelvic inflammatory disease generally requires the simultaneous use of two or more antibiotics.

3. Principles of surgical treatment

Generally speaking, surgical treatment of adnexitis is based on the ineffectiveness of drug treatment. If an abscess has formed and the body temperature continues to not drop after 48 to 72 hours of drug treatment, and the symptoms of poisoning are significantly aggravated or the mass shows signs of enlargement, drainage and resection should be performed immediately. In addition, if the patient suddenly develops symptoms such as increased abdominal pain, high fever and chills, nausea and vomiting, and even toxic shock in severe cases, laparotomy should be performed immediately to prepare for surgical treatment, as this may be caused by a ruptured abscess.

4. Principle of symptomatic treatment

Symptomatic treatment of adnexitis is very important. If the patient has anemia, he should be given a small amount of blood transfusion immediately and nutrition should be strengthened. If the patient has obvious local pain symptoms, he can be given appropriate analgesics or injections.