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最近对输卵管性不孕症的诊断和治疗,多从输卵管因素和腹膜因素两方面合并考虑。即:输卵管通过障碍者有输卵管闭塞或/及腹膜粘连,用通气试验、子宫输卵管造影、腹腔镜检查等可查清不孕原因,也是女性不孕发生率最高的原因(占30～40%)。疗法有通气、通水、手术和胚卵移植术。一、治疗选择 1.输卵管通畅者(1)膜样粘连(无新生血管):通气,通水,腹腔镜下手术。(2)粘连牢固(有新生血管):手术。(3)伴骨盆子宫内服异位症:药物+手术或显微镜下手术。 2.输卵管闭塞者(1)间质部闭塞;(2)峡部闭塞;(3)壶腹部闭塞均行显微镜下手术;
Recent tubal infertility diagnosis and treatment, and more from the tubal factors and peritoneal factors both considered. Namely: Tubal obstruction who have tubal occlusion or / and peritoneal adhesions, with the ventilation test, hysterosalpingography, laparoscopy and other causes of infertility can be found, but also the cause of female infertility the highest (30 to 40%) . Treatment of ventilation, water, surgery and embryo egg transplantation. First, treatment options 1. Tubal patency (1) membranous adhesions (no neovascularization): ventilation, water, laparoscopic surgery. (2) adhesion firmly (with new blood vessels): surgery. (3) with pelvic uterus ectopic: drug + surgery or microscopic surgery. 2. tubal occlusion (1) interstitial occlusion; (2) isthmic occlusion; (3) ampulla occlusion were undergone microscopic surgery;