输卵管积水

Compared to 2D ultrasonography, 3D TVS can directly get the spacial data of hydrosalpinx, the inner reecho of hydrosalpinx and its neighbor are more clear. 3D TVS is of great importance in the determination of the disease.Key words］3D transevaginal ultrasonography; hydrosalpinx

较二维超声，阴道三维超声的适当应用能更全面立体的提供输卵管积水空间结构，更清晰的显示的内部回声信息及周围脏器的比邻关系，对输卵管积水的定性帮助较大，其不仅降低了扫差难度，而且降低了诊断难度。

Objective To investigate the effect of salpingectomy on the response of each ovary in patients.

目前人们对输卵管妊娠及输卵管积水行输卵管切除术存在不同意见。

Methods:The data of 52 cycles of IVFET, which were accomplished in the Reproductive Medicine Center of First Affiliated Hospital, Sun Yat-sen University during February 1999 and April 2001, from 45 patients with history of unilateral salpingectomy clue to ectopic pregnancy, were analyzed retrospectively.

本研究分析因输卵管妊娠行单侧输卵管切除后不孕在我院生殖中心接受体外受精一胚胎移植(in vitro fertili：ation and embryotransfer，IVF一ET)治疗的资料，比较输卵管切除侧卵巢与对侧卵巢对超排卵的反应性，为输卵管妊娠及输卵管积水的处理提供临床资料。

The patients were divided into four groups. Group A included 48 women with previous unilateral salpingectomy. Group B included 41 patients with previous bilateral salpingectomy. Group C included 50 patients with obstruction of fallopian tube while group D included 40 patients with hydrosalpinx (without surgical procedure before). The ovarian responses to superovulation and the outcomes of IVF-ET were evaluated.

选择2006年2月至2007年6月在本中心行常规IVF-ET治疗的179例不孕患者为研究对象，共分为A、B、C、D四组，A组为48例单侧输卵管切除患者，B组为41例双侧输卵管切除患者，对照C组为50例双侧输卵管阻塞患者，对照D组为40例单侧或双侧输卵管积水患者，比较4组患者在IVF-ET周期中卵巢对控制性超排卵的反应及其结局的差异。

Hydrosalpinx is detrimental to the outcome of IVF-ET and may cause the increase of abortion,appropriate procedure should be adopted to deal with the problem before the IVF-ET and may improve the outcome of IVF-ET and may decrease the abortion rate.Compared with the salpingectomy,the proximal tubal ligation with distal tubal salingostomy may be a better option in this situation and it may cause less interference to the ovarian function.

输卵管积水对IVF-ET有不良影响，增加了流产率及异位妊娠率，在IVF-ET前对输卵管积水进行适当的处理有助于提高临床妊娠率，降低流产率；与输卵管切除术相比，输卵管近端结扎伞端造口术对卵巢功能影响较小，不增加流产率及异位妊娠率。

Part two Value of Contrast-enhanced Ultrasonography in Diagnosis and Differential diagnosis of HydrosalpinxObjective: Hydrosalpinx is one of commonly chronic inflammation in the fallopian tube.

第二部分超声输卵管造影对输卵管积水的诊断及鉴别诊断目的输卵管积水是慢性输卵管炎症中较为常见的类型。

If the tubes are blocked, the liquid will be trapped and your doctor will be able to tell that you have a hydrosalpinx.

如果输卵管堵塞，液体会滞留，医生就能判断你输卵管积水。

Results: 28 cases of patients (a total of 55 fallopian tubes, 1 case of tubal pregnancy due to tubal surgery to remove the side), two-dimensional transvaginal ultrasound showed that 20 cases were diagnosed as the side of hydrosalpinx, 8 cases of bilateral hydrosalpinx.

结果28例患者(共计55条输卵管，1例因输卵管妊娠手术切除一侧输卵管)，经阴道二维超声显示诊断为20例一侧输卵管积水，8例双侧输卵管积水。

The lower pregnancy rate was found in Group C,the highest abortion rate and ectopic pregnancy rate were found in Group C was 21.15% and 7.69% repectively,and was statistially different from that in control group (P.05).Conclusion Hydrosalpinx is detrimental to the outcome of IVF-ET and may cause the increase of abortion,appropriate procedure should be adopted to deal with the problem before the IVF-ET and may improve the outcome of IVF-ET and may decrease the abortion rate.

输卵管积水对IVF-ET有不良影响，增加了流产率及异位妊娠率，在IVF-ET前对输卵管积水进行适当的处理有助于提高临床妊娠率，降低流产率；与输卵管切除术相比，输卵管近端结扎伞端造口术对卵巢功能影响较小，不增加流产率及异位妊娠率。

Results the main pathological finding in this patients are:chronic salpingitis,salpingo-oophoritis,hyˉdrosalpinx,there are only two cases have endometrial tissue inside the oviduct in our observation.

结果 盆腔子宫内膜异位症囊肿的输卵管病理改变在本组病人中主要表现为：输卵管卵巢粘连、慢性输卵管炎、输卵管积水，并2例输卵管内有子宫内膜异位病灶。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。