输卵管积水

Methods: A retrospective study was performed including 397 women treated with IVF-ET with unilateral/bilateral salpingectomy or salpingoplasty for ectopic pregnancy or salpingemphraxis and patients with tubal infertility with existing salpinx. A total of 116 women with history of unilateral (n=70, group A) or bilateral (n=46, group B) received salpingectomy; 60 women with history of unilateral (n=27, group C) or bilateral (n=33, group D) receivedv salpingoplasty. While the remaining women, who were accomplished in the same duration, with fallopian tube obstruction but without hydrosalpinges were acted as control group (n=221, group E). The basic clinical information and ovarian response to gonadotropins were evaluated in these groups.

回顾性分析长方案超排卵IVF周期临床资料，选择397例因输卵管因素不孕患者，其中手术组176例，非手术组221例；手术组患者均因输卵管妊娠或输卵管阻塞、粘连或积水行单侧或双侧输卵管切除或输卵管修复整形手术，其中单侧输卵管切除组70例，双侧输卵管切除组46例，单侧输卵管整形组27例，双侧输卵管整形组33例；非手术组均未为双侧输卵管阻塞无积水患者，作为对照组。

The data were divided into four groups,A group included 57 cycles:a proximal tubal ligation with distal tubal salingostomy had been introduced to the patients before the IVF.B group included 55 cycles,a salpingectomy had been introduced to the patients before the IVF.C group included 52 cycles:no surgical procedure was adopted before IVF-ET.The control group was defined as D group and included 78 cycles of IVF-ET.

回顾性分析2007年3月至2009年3月在沈阳204医院生殖中心因输卵管性不孕接受IVF-ET 治疗共242周期的临床资料，根据IVF-ET前输卵管情况分4组，A组：57个周期，采用输卵管近端结扎伞端造口术；B组：55个周期，已行输卵管切除术；C组：52个周期，积水未行手术组；D组：78个周期，单纯输卵管阻塞，作为对照组。

Of assisted reproduction and it is now doing very well, if that tubal root barrier, we directly test-tube baby, and do not recommend surgery, if the water that is fallopian tube, laparoscopic surgery done on it to open plastic, end of the fallopian tubes exposed umbrella, so that this problem, I think to do laparoscopy to see what problems, how to deal with how to deal with.

而且现在的辅助生育做的非常好，假如说输卵管根部不通，我们就直接做试管婴儿了，不建议做手术，假如说是输卵管的积水，就做腹腔镜手术，把它打开整形，把输卵管伞端暴露出来，所以说这个问题，我觉得要做腹腔镜检查，看有什么问题，该怎么处理怎么处理。

What causes a hydrosalpinx?

输卵管积水的病因是什么？

Methods: Twenty women with hydrosalpinx and 21 normal women because of male factors received IVF therapy were recruited. Pinopodes were observed with scanning electron microscopy and cytokines integrin β3, LIF, MUC1 expression were analyzed with immunohistochemistry in endometrium during window phase.

选择接受IVF治疗的20例输卵管积水妇女及21例因男性因素所致不孕的妇女，在种植窗期间通过扫描电镜观察子宫内膜表面胞饮小泡的形态、密度，免疫组织化学分析种植因子integrin β3、MUC1及LIF的表达。

Methods analyzed the 60 cases of patients whom were conducted salpingography with tubal patent test apparatus by liquid instillation.results in 60 cases, both oviduct get through in 42 cases , account for 70%;one oviduct incompletely get through in 6 cases, account for 10%;both oviduct were blocked in 12 cases, account for 20%.among them ,2 cases of hydrosalpinx ,4 cases of ampulla of uterine tube obstruction,6 cases of scarcity in one side oviduct,10 cases of absence of develop in interstitial portion of the tube.

分析研究60例子宫输卵管造影患者应用输卵管通液诊疗仪进行检查的病例资料。结果：60例中，双侧通畅者42例，占70%；一侧通而不畅者6例，占10%；双侧输卵管不通者12例，占20%。其中2条输卵管伞端积水；4条输卵管壶腹部阻塞，6条输卵管一侧缺如。10条输卵管间质部不显影。

Methods 68 cases with hydrosalpinx admitted to our hospital from April 2005 to September 2007 had underwent traditional transabdominal ultrasound and transvaginal ultrasound.

对我院2005年4月-2007年12月收治的68例输卵管积水患者进行传统的二维经腹扫查和经阴道扫查，常规二维经阴道超声仔细扫查卵巢周围，当探及卵巢旁腊肠样或串珠样无回声，开启三维表面重建及能量多普勒重建扫描程序，进行容积扫查。

How will my doctor diagnose hydrosalpinx?

医生怎样诊断输卵管积水？

Methods The data of 242 cycles of IVF-ET which were accomplished in the Reproductive Medicine Center of 204 hospital during March 2007 and March 2009 with a history of hydrosalpinx were analyzed retrospectively.The data were divided into four groups,A group included 57 cycles:a proximal tubal ligation with distal tubal salingostomy had been introduced to the patients before the IVF.

回顾性分析2007年3月至2009年3月在沈阳204医院生殖中心因输卵管性不孕接受IVF-ET治疗共242周期的临床资料，根据IVF-ET前输卵管情况分4组，A组：57个周期，采用输卵管近端结扎伞端造口术；B组：55个周期，已行输卵管切除术；C组：52个周期，积水未行手术组；D组：78个周期，单纯输卵管阻塞，作为对照组。

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。