输卵管积水:整形术还是切除术后行IVF?

近年来发现严重的输卵管病尤其输卵管积水反过来对IVF-ET的成功率有很大影响,其机理有机械、化学的和细胞毒性等学说。回顾性资料分析认为,行IVF-ET之前行输卵管切除术可提高IVF-ET成功率,但同时有前瞻性研究认为输卵管切除术对提高IVF-ET无效。行IVF-ET之前是否有必要行积水输卵管?哪些病人、何时行输卵管切除术有利?如何更准确评价输卵管功能,这些问题有待人们更深入研究

Hydrosalpinx: Neosalpingostomy or IVF-ET after Salpingectomy?

Hydrosalpinx is a major cause of female infertility. Dts diagnostic methods for hydrosalpinx Due to includes HSG, B type ultrasound, laparoscopy and falloposcopy etc. Before the IVF-ET was developed, nepsalpingostomy was used to treat the fallopian's infertility especial hydrosalpinx. Due to the poor prognosis of the neosalpingostomy, IVF-ET is a prefered treatment, howerever, it is also found that the hydrosalpinx will adversely affect the success rate of the IVF-ET. The reason are described in mechanic, bilchemistry and embryo toxicity etc. Many retrospective research found salpingectomy prior to IVF-ET can increase the success rate of IVF-ET , but this result was not supported by the prospective study. Is it necessary to perform salpingectomy prior to IVF-ET? Who and When can berefit from the salpingectomy prior to IVF-ET? How to diagnosis the fallopian's function more accurately? All these questions are a waited to be answered in the late research.