PDF(Pubmed)
Abstract：
We reported 5 patients with unilateral or bilateral tubal discontinuity between the ampulla and fimbria, occasionally detected through laparoscopy combined with hysteroscopy at the Reproductive Hospital Affiliated with Shandong University from 2017 to 2023. Three cases were observed to have this malformation on the left fallopian tube, 1 case on the right side, and 1 case bilaterally. None of these cases were combined with urological malformations. After surgery, there was 1 instance of postoperative delivery, 1 ongoing pregnancy, and 3 not yet conceived. The congenital ampulla and fimbria interruption of the fallopian tube may be independent of other significant deformities of reproductive or renal tracts. However, it can lead to hydrosalpinx and primary or secondary infertility. Surgical management options, such as salpingostomy, salpingectomy, and tubal ligation, have shown the potential to improve pregnancy outcomes.
摘要：
我们报道了5例患者在壶腹和菌毛之间有单侧或双侧输卵管不连续，2017年至2023年，山东大学附属生殖医院偶尔通过腹腔镜联合宫腔镜检查发现。3例观察到左输卵管有这种畸形，右侧有1个箱子，双边1例。这些病例均未合并泌尿系畸形。手术后,有1例术后分娩，1正在怀孕，3尚未构思。输卵管的先天性壶腹和菌毛中断可能与生殖道或肾脏的其他明显畸形无关。然而,它可以导致输卵管积水和原发性或继发性不孕。手术管理选择，比如输卵管造口术,输卵管切除术,输卵管结扎,已经显示出改善妊娠结局的潜力。
