Contrast examination is to observe the size and shape of uterus and the patency of bilateral fallopian tubes by inserting a contrast catheter into the cervix and injecting a proper amount of contrast agent. If a part of the fallopian tube is blocked, the contrast agent will not pass through the blocked part. According to this principle, combined with your imaging report, "the contrast agent is sausage-shaped, does not enter the pelvic cavity and does not spread." It can basically diagnose bilateral hydrosalpinx.

Hydronephrosis at the umbrella end of fallopian tube is also called blockage or adhesion at the umbrella end of fallopian tube. Most of them had inflammatory infection in the past, which led to hyperemia and redness of oviduct mucosa and secretion of inflammatory substances. At this time, if the anti-infection treatment is not carried out in time, the umbrella end will be stuck and locked, so that the exudate and exudate in the lumen cannot be discharged, forming hydrosalpinx. When hydrosalpinx exists, patients generally have no obvious clinical manifestations, and most of them are found during the infertility examination after marriage. By this time, the inflammation has passed, so it is better to take medicine and have an injection. Some women with hydrosalpinx almost eat medicine as a meal, but they are still not pregnant. That's the reason. As for the treatment of hydrosalpinx by physical therapy and skipping rope, the effect is minimal.

The best treatment plan is as follows:

First of all, the salpingostomy was performed. The purpose of this operation is to treat tubal umbrella end obstruction. During the operation, the adherent tissue of fallopian tube umbrella tip was separated dully, and the morphological structure and egg retrieval function of fallopian tube umbrella tip were restored to restore natural pregnancy. There are two forms of salpingostomy: laparoscopic surgery and laparotomy. Laparoscopy is a minimally invasive operation, but with the help of instruments, the operation is not accurate enough and the cost is relatively high, about 6,543.8+0,000 yuan. Abdominal surgery, the wound is slightly larger than laparoscopy, about 2-3 cm. But the operation is more precise, which can restore the shape and function of the umbrella tip to the greatest extent and improve the chances of pregnancy. The cost is about 3000 yuan, which ordinary families can afford.

Second: IVF. IVF is also called in vitro fertilization and embryo transfer technology. After the woman's egg and the man's sperm are taken out, they are fertilized in vitro, and after the embryo develops for a period of time, they are transplanted into the female uterus to continue their development. During the whole delivery process, fallopian tubes are not needed. Therefore, IVF is suitable for infertile patients with tubal obstruction and unable to conceive naturally after operation. However, after the adhesion of the umbrella end of fallopian tube, the oviduct fluid secreted under normal circumstances can not flow out from the umbrella end, but will flow back to the uterine cavity, which has a certain impact on the implantation and development of embryos. Therefore, it is necessary to perform memory alloy embolization before IVF to solve the problem of effusion reflux. IVF costs about 30,000 yuan per cycle, and the success rate is about 30%.

You are from Linyi, Shandong province, and you don't know much about your hospital there. If you want to make a test tube, you can go to Shandong Provincial Hospital. I hear it's not bad. However, if you don't want to make a test tube, make an umbrella stoma. Linyi is close to Shangqiu, Henan. I recommend a hospital to you. The infertility department of Quan Min Hospital of Traditional Chinese Medicine is a special specialty, which enjoys a high reputation in eastern Henan and eastern Shandong. The treatment of infertility, especially tubal diseases, has a good effect. If there is a rural cooperative medical system, it can be reimbursed during hospitalization. You can call them at 0370.

8555222。 I hope it helps you! Surgery requires clean menstruation for 3-7 days. Good luck with your pregnancy!