CAJ | 학술논문

输卵管积水降低体外受精-胚胎移植（IVF-ET）的妊娠率、种植率，并使自然流产率增加。其可能机制是通过胚胎毒性、改变子宫内膜容受性以及通过机械性冲刷等作用影响IVF妊娠结局。目前输卵管积水治疗的方法主要包括输卵管切除术、输卵管整形术、输卵管结扎术、宫腔镜下输卵管栓塞术、经阴道超声引导下输卵管积水抽吸硬化术、中西医结合治疗等。输卵管切除术有可能影响IVF超排卵中卵巢的反应性，经阴道超声引导下输卵管积水抽吸术，虽然有简单、创伤小的优点但复发率较高。近年来，很多学者开始尝试应用新型宫腔镜下节育器Essure 或者Adiana 微种植体进行输卵管栓塞术治疗输卵管积水。通过总结分析输卵管积水不同治疗方案的有效性及利弊，指导临床医生为输卵管积水患者在辅助生殖前制定个性化治疗方案。
수란관적수강저체외수정-배태이식（IVF-ET）적임신솔、충식솔，병사자연유산솔증가。기가능궤제시통과배태독성、개변자궁내막용수성이급통과궤계성충쇄등작용영향IVF임신결국。목전수란관적수치료적방법주요포괄수란관절제술、수란관정형술、수란관결찰술、궁강경하수란관전새술、경음도초성인도하수란관적수추흡경화술、중서의결합치료등。수란관절제술유가능영향IVF초배란중란소적반응성，경음도초성인도하수란관적수추흡술，수연유간단、창상소적우점단복발솔교고。근년래，흔다학자개시상시응용신형궁강경하절육기Essure 혹자Adiana 미충식체진행수란관전새술치료수란관적수。통과총결분석수란관적수불동치료방안적유효성급리폐，지도림상의생위수란관적수환자재보조생식전제정개성화치료방안。
Hydrosalpinx can reduce the pregnancy rate and implantation rate of in vitro fertilization and embryo transfer (IVF-ET), and increase the rate of spontaneous abortion. Hydrosalpinx may affect the IVF-ET clinical outcome by embryo toxicity, impairment of endometrial receptivity, mechanical hindrance to implantation. At present, the treatment options of hydrosalpinx are multifarious, including salpingectomy, salpingostomy, tubal ligation, tubal occlusion by hysteroscopy, transvaginal aspiration of fluid, and combination of Chinese and Western Medicine. Salpingectomy may affect ovarion response in IVF hyperstimulation. As for transvaginal aspiration of fluid, although there are smiple and less invasive advantages, the recurrence rate is high. The Essure?and Adiana?microimplant by hysteroscopy for tubal occlusion are trying to treat hydrosalpinx in clinical practice in recent years. The efficiency, advantage and disadvantage of different treatment schemes of hydrosalpinx were compared in this review, which is helpful for clinical doctors to select better individualized strategies before assisted reproductive technology(ART) treatment for those patients with hydrosalpinx.