Interventional recanalization of fallopian tubes; Interventional recanalization of fallopian tube obstruction includes selective tubal angiography (SSG), tubal recanalization (FTR) and intraluminal drug infusion of fallopian tubes. The advantage of FTR is that the procedure is performed through the normal female physiological channel via a microcatheter and guidewire and is nearly non-invasive. The procedure usually takes only about 30 minutes, and the patient can go home immediately after the procedure without hospitalization. The cost is low, less than one third of the cost of combined hysteroscopic and laparoscopic tubal reintubation. The disadvantage is that a small amount of X-ray is required and pregnancy should be considered 2-3 months after surgery. 2. Combined hysteroscopic and laparoscopic recanalization The advantage is that the tubal route and pelvic organs can be observed under direct laparoscopic view, and adhesions and distortions around the tubes can be judged, while pelvic lesions can be operated on. The disadvantage is that it requires hospitalization and surgery under general anesthesia, which is expensive, and three small incisions still need to be made in the abdomen. 3. Tuboscopic examination and treatment of the fallopian tubes is expensive and rarely performed. 4. Tubal horn implantation: It is costly and traumatic, and is rarely used in clinical practice. At present, the most widely used techniques in clinical practice are tubal interventional recanalization and combined hysteroscopic and laparoscopic recanalization. For mild tubal opacification, comprehensive TCM treatment and/or tubal lavage treatment can be performed (1) Comprehensive TCM treatment It is recommended to give personalized evidence-based treatment of TCM with internal medicine, small external abdominal application and enema. The internal medicine, external application and enema are applied continuously for 10 days as a course of treatment, and each course of treatment is applied continuously for 3 courses after 2 days of menstrual cleansing. (2) Western medical treatment Perform tubal lavage treatment. (2) For severe tubal incompetence, tubal interventional recanalization can be performed first, followed by comprehensive TCM treatment and/or tubal lavage treatment: interventional recanalization treatment techniques for tubal obstruction include selective tubal angiography (SSG), tubal recanalization (FTR) and intraluminal tubal drug infusion. Interventional treatment is followed by comprehensive Chinese medicine treatment and/or tubal lavage. Tubal effusion is a more troublesome tubal factor infertility than tubal obstruction. Because of tubal obstruction, direct IVF or interventional recanalization can be performed, and the success rate of interventional recanalization for proximal tubal obstruction is high. If you want to get pregnant naturally, please undergo laparoscopic tubal ostomy. Untreated hydrosalpinx can reduce the success rate of IVF by 50% and increase the miscarriage rate by one. There is a consensus among domestic and international reproductive medicine experts that tubal effusion should be treated surgically before IVF. Please do laparoscopic surgery if you want to get pregnant naturally. Laparoscopic tubal ostomy can be done under laparoscopy, and the postoperative effect is better when combined with Chinese medicine treatment; however, the ostomy has the possibility of recurrence of hydrosalpinx, and the chance of ectopic pregnancy is also higher. Laparoscopic surgery is a minimally invasive procedure that has been widely used in obstetrics and gynecology. If you want to have IVF, you need to deal with hydrosalpinx before IVF, there are several methods as follows: 1. Interventional embolization of the fallopian tube Under X-ray surveillance, a microcatheter is sent into the isthmus of the fallopian tube through a guide catheter to block the pathway in the lumen of the fallopian tube so that the fluid cannot return to the uterus. The mechanism of action of microspring coil embolization of the hydrosalpinx is mechanical embolization: (1) complete mechanical blockage of the tubal lumen; (2) alteration of the local microenvironment of the embolization to occlude the tubal lumen. Interventional tubal embolization does not damage the arterial arch of the tubal-ovarian tract anastomosis and has no effect on ovarian function. Interventional tubal embolization is nearly non-invasive and the cost of the procedure is low. No hospitalization or anesthesia is required, and the procedure can be performed on an outpatient basis and takes about 30 minutes. You can go home on your own after the operation. 2.Fallopian tube resection is performed laparoscopically or openly. Fallopian tube resection may damage the blood supply arteries of the ovaries and may have an effect on the function of the ovaries. 3. Proximal tubal ligation Proximal tubal ligation is to ligate the proximal end of the fallopian tube so that the fluid cannot flow into the uterine cavity. 4.Distal tubal ostomy The distal tubal ostomy can be performed laparoscopically, but the distal ostomy may re-adhere and close quickly. Transvaginal ultrasound-guided tubal aspiration Transvaginal ultrasound-guided tubal aspiration can reduce the pressure in the fallopian tubes and prevent the flow of fluid to the embryo, thus blocking the toxic effect of the fluid in the fallopian tubes on the embryo. However, tubal effusion is prone to recurrence, so multiple punctures are sometimes required.