Tubal obstruction in interstitial and isthmus of fallopian tube: X-ray fallopian tube interventional recanalization is the first choice, if recanalization fails, IVF treatment is performed. Under normal circumstances, there is often only one chance for fallopian tube interventional recanalization through X-ray, so the attending doctor must have the idea that every step of interventional treatment should be done carefully to meet the patients' chances and wishes of realizing natural pregnancy to the greatest extent, so it is very important to improve their medical skills as a doctor.
Tubal ampulla obstruction: in vitro fertilization treatment.
Obstruction of oviduct umbrella: one is laparoscopic or open salpingostomy, the other is IVF, and the success rate is 20% respectively.
Adhesion around fallopian tubes: it can cause dysfunction of fallopian tube picking and transporting eggs, thus causing infertility. The main treatment is laparoscopic separation of peritubal adhesions.
Tubal tuberculosis: Fallopian tube obstruction caused by fallopian tube obstruction is prohibited. If the endometrium is still good, IVF treatment can be performed.
Other treatments for tubal obstruction:
Tubal drainage: it can be carried out after 3 days of clean menstruation. Gentamicin10.6 million units, 2 procaine 2 ml, dexamethasone 5 mg, and α -chymotrypsin 5 mg were dissolved in 20 ml physiological saline and injected into uterine cavity through fallopian tube catheter. Every other day 1 time, stop taking drugs before ovulation. Can be used for continuous treatment for 2-3 menstrual cycles. At present, this therapy is still adopted by most medical institutions, but the curative effect is poor and the false positive rate is high.