Puttemans P, Campo R, Gordts S, Brosens I
Leuven Institute for Fertility and Embryology, Tiensevest 168, B-3000 Leuven, Department of Obstetrics and Gynaecology, St Elisabeth Hospital, Avenue De Fré 206, B-1180 Brussels.
Hum Reprod. 2000 Jul;15(7):1427-30. doi: 10.1093/humrep/15.7.1427.
The debate on the effect of the hydrosalpinx on medically-assisted reproduction has demonstrated the importance of understanding the complex pathophysiology of the hydrosalpinx in outlining the principles of its clinical management, whether it is by functional surgery or IVF, preceded or not by salpingectomy. New endoscopic techniques are available to accurately assess, both in the operating room and the office, the quality of the tubal mucosa. The direct endoscopic evaluation of the tubal mucosa in hydrosalpinges is at present the most reliable technique to select between functional surgery and preventive salpingectomy. In future, prospective randomized studies on salpingectomy will benefit greatly from accurate clinicopathological data.
关于输卵管积水对辅助生殖影响的争论表明，了解输卵管积水复杂的病理生理学对于明确其临床管理原则至关重要，无论采用功能性手术还是体外受精（IVF），在输卵管切除术之前或之后进行。新的内镜技术可用于在手术室和门诊准确评估输卵管黏膜的质量。目前，对输卵管积水的输卵管黏膜进行直接内镜评估是在功能性手术和预防性输卵管切除术之间进行选择的最可靠技术。未来，关于输卵管切除术的前瞻性随机研究将从准确的临床病理数据中受益匪浅。
