国际生殖健康/计划生育 ›› 2018, Vol. 37 ›› Issue (1): 76-80.

• 综述 • 上一篇    下一篇

输卵管积水的诊断及治疗

卢珍珍,李爱军   

  1. 450000  郑州大学第一附属医院妇产科
  • 收稿日期:2017-10-24 修回日期:2017-12-11 出版日期:2018-01-15 发布日期:2018-02-02

Diagnosis and Treatment of Hydrosalpinx

LU Zhen-zhen,LI Ai-jun   

  • Received:2017-10-24 Revised:2017-12-11 Published:2018-01-15 Online:2018-02-02

摘要: 输卵管积水是由输卵管慢性炎性渗出物聚集的一种形态学改变,病理学基础是输卵管的慢性炎症,其诊断主要依据超声、子宫输卵管造影及宫腹腔镜联合探查术等辅助检查,而宫腹腔镜联合探查术则是其诊断的金标准,探查盆腔的同时兼具治疗作用。临床上根据输卵管积水程度、有无生育要求及患者临床症状等决定其治疗方式,包括保守治疗及手术治疗,尤其在手术治疗方式上越来越追求微创、安全及有效。近年来输卵管积水也成为输卵管性继发不孕的主要原因之一,其治疗在自然受孕及体外受精-胚胎移植的预处理中也起着极其重要的作用。

关键词:  输卵管积水, 输卵管疾病, 诊断, 治疗

Abstract: Hydrosalpinx is a morphological change that the chronic inflammatory exudate is accumulated in the fallopian tubes, in which the pathological basis is the chronic inflammation of fallopian tubes. The diagnosis mainly depends on the ultrasonic, hysterosalpingography and the exploration combined hysteroscopy and laparoscopy. The exploration combined hysteroscopy and laparoscope as the gold standard of diagnosis has also been used to treat hydrosalpinx at the same time exploring the pelvic cavity. According to the degree of hydrosalpinx, requirement of fertility and clinical symptoms, the treatment methods were optimized, including the conservative treatment and surgical treatment. As for surgical treatment, it is required to be minimally invasive and highly safe and efficient. In recent years, hydrosalpinx is one of the main causes of tubal secondary infertility. The diagnosis and treatment of hydrosalpinx play an important role in the natural conception and the pretreatment of in vitro fertilization and embryo transfer (IVF-ET).

Key words: Hydrosalpinx, Fallopian tube diseases, Diagnosis, Treatment