The blocked fallopian tube is a common cause of infertility in women. In real society, with the increasing pressure of women, patients with
blocked fallopian tubes are also increasing. Here are a few common surgical treatment methods in the clinic.
Check before surgery
Before choosing the specific surgery, we need to find out the pathological position and degree of the fallopian tube through the examination of hysterosalpingography, for example, to know whether it is a proximal obstruction or distal obstruction, whether there is water accumulation, what is the cause of fallopian tube pathological changes, etc. if it is caused by tuberculosis infection, the operation is not recommended.
If the female side is older, the ovarian reserve function is poor, or her partner has severe oligospermia or asthenospermia, surgery is not recommended, and IVF can be directly considered.
Distal obstruction of the fallopian tube
1. Salpingolysis and salpingostomy
At present, open surgery has been basically eliminated, generally laparoscopic. At the same time of laparoscopy, it can also check whether there is adhesion in the pelvic cavity and carry out adhesion separation.
As for whether you can get pregnant after the operation, it is related to the shape and physiological function of the fallopian tube, as well as the degree of pelvic adhesion, so the specific situation should be judged by the doctor.
2. Salpingectomy and ligation
For severe
hydrosalpinx, the structure of the fallopian tube has been destroyed, the basic function of the fallopian tube has been lost, and the possibility of operation recovery is relatively slight.
Because the inflammatory factors in hydrosalpinx will flow into the uterine cavity, which has toxic effects on sperm and fertilized eggs, and the endometrium will also reduce the probability of embryo implantation after being stimulated by inflammation, so it is necessary to block the place near the uterus of the fallopian tube or remove the fallopian tube before embryo transfer, so as to improve the success rate of the in-vitro baby.
