Abstract: Objective：To study the application of hysteroscopy in the evaluation of the distal mucosa of fallopian tube, and to analyze this feasibility hysteroscopy replacing falloposcopy in clinical practice. Methods：Clinical data of 174 fallopian tubes undergoing salpingectomy from January 2015 to February 2018 was collected. The mucosal status of fallopian tube was evaluated by the hysteroscopy replacing falloposcopy, before the salpingectomy. The pathological specimens of fallopian tube were then checked with microscope. According to the pathological standard, the fallopian tube was grouped as the normal group, the mild group, the moderate group and the severe group. The consistency between the pathological observation and the hysteroscopic evaluation was statistically analyzed. Results：The parameters of hysteroscopic evaluation on the mucosal lesions of distal tubal were included the sensitivity, specificity, positive predictive value, negative predictive value, false positive rate, false negative rate, total compliance rate, and the Kappa value being 98.2%, 91.5%, 84.6%, 99.1%, 8.5%, 1.8%, 93.7% and 0.861. Conclusions：Hysteroscopy, with a good diagnostic value and instead of falloposcopy, may be selectively used to evaluate the mucosal lesions of distal tubal with high sensitivity and specificity.

Key words: Salpingitis, Infertility, female, Laparoscopes, Pathology