The fallopian tubes are thin, curved, muscular tubes that are not just two channels, but are the conduits through which a woman can conceive and give birth to a child and reproduce. The fallopian tubes are located deep in the pelvic cavity, the thin lumen of the tubes are twisted and turned, like a lost way to the conception of the set up of a lot of barriers, the slightest accident will occur adhesion or blockage, so that the woman loses the ability to bear children. According to statistics, infertility due to tubal blockage accounts for about one-third of female infertility. Currently there are about 7 million women in China who cannot get pregnant due to blocked tubes. This is a wake-up call that infertility is on the rise, so what can be done to solve this problem? How can we solve this problem? How can we save the more than 7 million infertile women in China so that they can finally turn their misfortune into fortune? Next, I will explain in detail: The fallopian tubes are anatomically divided into four parts: the interstitial part, the narrow part, the jugular abdomen, the umbrella part. Different parts of the blockage to take different treatment methods. The preferred method for tubal blockage in the mesenchymal and isthmus sections is tubal intervention, while other treatments include tubal stoma and in vitro fertilization. Through more than ten years of clinical experience and research of the tubal professional group of the Fertility Center of Minquan County Hospital of Shangqiu City, Henan Province, the following treatment principles are summarized: Tubal blockage treatment principles: a clear diagnosis is a prerequisite for the treatment of the tubal blockage according to the location, degree and nature of the tubal blockage to take appropriate therapeutic measures. 1, tubal interstitial part and narrow part of the fallopian tube blockage, should be preferred to X-ray tubal intervention reversal surgery, if reversal fails, and then in vitro fertilization treatment. 2, Tubal jugular abdominal blockage in vitro fertilization treatment. 3, tubal umbilical blockage of hydrocele, if the expansion of umbilical hydrocele is below 75px, the professional doctor can choose the indication of tubal stoma through the degree of persecution of the umbilical end of the fallopian tubes in the angiography, and the surgical methods include laparoscopic tubal stoma and open tubal stoma. 4, the adhesion around the fallopian tube can cause the fallopian tube to pick up and transport eggs dysfunction, thus causing the occurrence of infertility. The main choice of treatment is laparoscopic peritubal adhesion separation. 5, tubal tuberculosis caused by tubal occlusion prohibit tubal reversal treatment, if the endometrium is still good can be IVF treatment. 6.Tubal blockage of traditional Chinese medicine oral, enema, physical therapy treatment is invalid. 7, fallopian tube blockage hysteroscopic treatment; hysteroscopy, laparoscopy combined treatment; hysteroscopy, laparoscopy, tuboscopy combined treatment is excessive medical. Today I am here to discuss with you about the treatment of tubal intervention via X-ray. Principle of tubal intervention by X-ray: The fallopian tube is a slender and curved muscular tube that extends from the uterine horns on both sides of the uterus and is free from the pelvic cavity, with a length of about 8-375px, and different parts of the tube have different thicknesses (the diameter of the inner lumen of the mesenchymal part is 0.5-1mm, while the maximum diameter of the inner lumen of the juxtapical part is 10mm, not to mention the umbrella part, which has a difference of more than 10 times of the diameter), and the thickness of the muscular layer varies from 0.5-1mm to 0.3-1mm, while the maximum diameter of the inner lumen of the pot-belly is 10mm. ), the thickness of the muscle layer is uneven, and the intricate organization of the endothelium of the juxta-peritoneum is only a potential lumen. If in such a thin and curved pipe blocked, if you want to make it reopen must have the following conditions. 1, the reopening process must be completed under visualization, otherwise it can not be good reopening or in the process of reopening to cause more damage. 2, the reopening device must be a thin and long reopening device, otherwise it is impossible to pass from one end to the other end of the blockage. 3, restoration of the instrument from the thin end of the fallopian tube restoration (via the uterine horn) the restoration of the diameter of the instrument should be less than 1mm, if more than this diameter will not be able to enter the lumen of the fallopian tube, and even if it goes into the tube is also forced entry, resulting in new injuries. 4, the blockage of the tubal lumen of the restoration, only from the thinnest end of the lumen to the widest section of the restoration, otherwise the very thin restoration of the guidewire will inevitably lead to bending and pulling into the wall of the tube not only fails to restore the role of the tubal lumen but also will cause damage to the tubal lumen. 5, the restoration of the instrument must have both good toughness, but also good softness, otherwise easy to perforate, toughness is like a hard steel nails, easy to cause perforation in the operation. Poor toughness is like spaghetti with no strength can not play a role in dredging, so we need to find a just right guide wire. 6, the guidewire’s outer diameter must be smooth enough, otherwise it will cause damage to the lumen. 7, due to the restoration of the guide wire is thin and long, the operation of the actual is through the guide rod to make the guide wire from one end to the other section, in order to increase the maneuverability of the operation, must be in the guide wire at the outer end of the increase of a casing to support the very thin restoration of the guide wire. 8, the operation is not only to grasp the strength of the guide wire from one end to the other, but also according to the different parts of the fallopian tube, the degree of obstruction, to take different methods of recanalization. Can meet the above conditions of the restoration of the methodology to explore: 1, hysteroscopy: hysteroscopy is mainly used to understand the internal condition of the uterine cavity of an inspection method, can see the tubes of the uterine opening for the tubal cavity of the situation can not be understood. So this method is a blind pass, the risk of perforation is relatively large. 2, laparoscopy: can only understand the situation of the rich and strong, such as the umbilical end of the fallopian tube, whether there is adhesion around the fallopian tube. The same for the inner lumen of the fallopian tube no way to understand, can not be treated, some people would like to think that we can through the umbrella of the fallopian tube to the fallopian tube inserted guide wire, according to the anatomical structure of the umbrella end of the fallopian tube, the guide wire through the easy to cause damage to the wall of the tube. 3.Hysteroscopy and laparoscopy combined treatment: Ideally, this is perfect, but the combination of the two methods can only observe the two ends of the fallopian tube (uterine opening of the fallopian tube, umbrella part of the fallopian tube), and the inner cavity of the fallopian tube up to 8-375px long can not be understood, the combination of these two roles is only the role of the laparoscopy, the addition of hysteroscopy will only increase the additional damage. 4, hysteroscopy, laparoscopy, tuboscopy three mirror combination: this three-mirror combination is even more people’s ideal, which can finally solve the problem of fallopian tube. Tuboscopy is really on the fluent fallopian tube to understand the tubal lining of a checkup instrument, and on the fallopian tube blockage is contraindicated, because the fallopian tube are not fallopian tube mirror how to insert the fallopian tube, even if it is the guidewire on the fallopian tube blockage parts of the success of the fallopian tube inserted into the fallopian tube mirror again in addition to the fallopian tube to further cause injuries to the manipulation of the fallopian tube outside of the therapeutic effect will not be anything, the method of this joint treatment belongs to the overmedication, the harm is greater than the good. The disadvantages outweigh the advantages. 5, through the X-ray tubal intervention: a, through the X-ray tubal intervention is the use of digital X-ray machine, the doctor through the TV screen under the direct vision of the coaxial catheter system, through the vagina, cervix, uterus will be placed in the entrance part of the fallopian tubes, tubal selective imaging, and then according to the specific location of blockage of fallopian tubes and the degree of blockage to select the appropriate guidewire inserted into the fallopian tubes via the catheter and through the guidewire for the blockage of fallopian tubes, the guidewire for the blocked tubes, the tubal tubes will be inserted into the tubal tubes through the catheter. The guidewire is inserted into the fallopian tube through the catheter according to the specific location and degree of blockage, and through the guidewire, the blocked fallopian tube is restored and separated. The whole process can be watched by the operating doctor on the X-ray TV screen, so it can complete the first condition of the principle of restoration treatment, and the restoration process can be seen at a glance, and the whole process can be seen under direct vision. b. Tubal intervention via X-ray is to insert the guide wire into the fallopian tube through the catheter to the corner of the uterus, which can meet the principle that only the thinnest end of the tubal lumen can be reconnected, but not the widest end, otherwise, the extremely thin reconnecting guide wire will inevitably result in the bending of the tubal wall, which not only fails to play the role of reconnection, but also results in damage to the tubal lumen or perforation. c, for tubal intervention tubal reversal guidewire is tailor-made for reversing tubal blockage, guidewire outer layer for the spiral high-quality platinum wire winding, which is conducive to its bending in various directions in the fallopian tube without bending. There are two straight platinum wires inside the platinum wire loop for the inner core of the guidewire. One of them is thinner, the two ends and platinum wire ring ends are welded, so that the platinum wire ring does not stretch loose during operation, when the platinum wire ring breaks will not float down in the fallopian tube, so it is called the safety guide wire core. Another core is thicker, it is in the proximal end of the guidewire (or tail end) is not welded with the wire ring, and shorter than the platinum wire ring. The role of this core is to strengthen the hardness of the guide wire, said to strengthen the guide wire core. Therefore, the main part of the guide wire is soft and rigid, while the end of the head is not reinforced with a section of the guide wire core is very soft. The surface of the guidewire is coated with Teflon to minimize frictional resistance as the guidewire moves through the catheter and the fallopian tube. At present, we commonly use a so-called super-smooth hydrophilic guidewire, the surface of the guidewire is a layer of super-smooth hydrophilic bionic material (like the surface of the body of the mudskipper, when it comes into contact with water, it is very slippery, so as long as the operation is done correctly, it will not damage the tubes), there is no steel ring inside the guidewire, it is only a metal wire, in order to increase the strength of the tubal recanalization. The above suitable instruments together with the good choice of appropriate symptoms and the operation skills of professional doctors are the best choices for patients with tubal interstitial and isthmus blockage by X-ray interventional reopening. d. Due to individual differences and different anatomical structures of fallopian tubes and thickness of tubal lumen, there are different types and sizes of guidewires. There are different types and styles of guidewires. Proficiency in the characteristics and use of each guidewire is a prerequisite for successful tubal intervention. At the same time, the goal of the procedure is to achieve a successful pregnancy. The goal of the procedure is to achieve a successful pregnancy, not just to “make the tubes open”. If the operation is not done properly, it will not be easy to get pregnant even after the operation is done. Therefore, no matter which doctor to choose to do the operation, the operation is generally rarely a second chance: Tubal intervention indications: 1, bilateral or unilateral tubal interstitial part, the narrow part, and the jugular abdomen proximal blockage, tubal interstitial part, the isthmus part of the partial blockage, pass but not smooth and have fertility requirements. 2.It is performed 3-7 days after menstruation. 3.Conventional hysterosalpingography is feasible if the cervical opening is too loose to complete the imaging operation. 4.Tubal pregnancy, insert the catheter into the side of tubal pregnancy, inject the corresponding drugs can inactivate the embryo, terminate the pregnancy and treat ectopic pregnancy. Contraindications for tubal intervention: 1, acute and subacute inflammatory period of internal and external genitals. 2. Severe systemic diseases that can not tolerate the surgery. 3. Menstruation, pregnancy. 4. Postpartum, abortion, scraping within 6 weeks after surgery. 5, the middle part of the fallopian tube to the far part of the jugular abdomen, the umbilical end of the blockage of fluid. 6.Family planning tubal ligation caused by tubal blockage, tubal anastomosis and recanalization of the fallopian tube after re-obstruction and diagnosed as tuberculosis tubal blockage.