Briceag I, Costache A, Purcarea V L, Cergan R, Dumitru M, Briceag I, Sajin M, Ispas A T
Department of Obstetrics and Gynecology, "Cantacuzino" Clinical Hospital, Bucharest, Romania.
Ultrasound Teaching Center, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
J Med Life. 2015 Apr-Jun;8(2):129-31.
Around 30% of the infertile women worldwide have associated Fallopian tubes pathology. Unfortunately, for a long time, this aspect of infertility has been neglected due to the possibility of bypassing this deadlock through IVF.
Up to date free full text literature was reviewed, meaning 4 major textbooks and around 100 articles centered on tubal infertility, in order to raise the awareness on this subject.
The anatomy of the Fallopian tube is complex starting from its embryological development and continuing with its vascular supply and ciliated microstructure, that is the key to the process of egg transport to the site of fertilization. There are many strongly documented causes of tubal infertility: infections (Chlamydia Trachomatis, Gonorrhea, and genital tuberculosis), intrauterine contraceptive devices, endometriosis, and complications after abdominal surgery, etc.
Although there are still many controversies about the etiology of tubal sterility with the advent of molecular diagnosis of infections there has been cleared the pathway of infection through endometriosis or through ciliary immobility towards the tubal obstruction.
全球约30%的不孕女性伴有输卵管病变。不幸的是，长期以来，由于可以通过体外受精绕过这一僵局，不孕症的这一方面一直被忽视。
查阅最新的免费全文文献，即4本主要教科书和大约100篇以输卵管性不孕为中心的文章，以提高对该主题的认识。
输卵管的解剖结构很复杂，从其胚胎发育开始，一直到其血管供应和纤毛微观结构，而纤毛微观结构是卵子运输到受精部位过程的关键。有许多有充分文献记载的输卵管性不孕原因：感染（沙眼衣原体、淋病和生殖器结核）、宫内节育器、子宫内膜异位症以及腹部手术后的并发症等。
尽管关于输卵管性不孕的病因仍有许多争议，但随着感染分子诊断技术的出现，通过子宫内膜异位症或通过纤毛运动障碍导致输卵管阻塞的感染途径已经明确。
