Does fallopian tube adhesion require surgery?

If fallopian tube adhesion occurs, you must go to the hospital for diagnosis in time, because it can easily lead to female infertility. Sometimes, even if you successfully conceive, it can easily lead to ectopic pregnancy. Especially for relatively severe fallopian tube adhesions, it is best to undergo surgical treatment in time. There are many surgical treatment methods, such as hysteroscopy, laparoscopy, combined hysteroscopy and laparoscopy, etc., which can achieve good therapeutic effects.

(1) Fallopian tube endoscopy: It is an endoscopic examination instrument that performs microscopic examination of the internal structure of the fallopian tube lumen. The fallopian tube endoscopy can directly observe local microscopic lesions inside the fallopian tube lumen, such as lesions of the fallopian tube mucosa and fallopian tube cilia immobility syndrome. It is an endoscopic examination used only to exclude abnormalities in the internal structure and function of the fallopian tube lumen.

(2) Laparoscopic examination: Laparoscopy can not only detect fallopian tube blockage, but also provide treatment when lesions are detected. It combines examination and treatment in one, and its safety is very high. Therefore, the cost of laparoscopic examination for fallopian tube blockage is relatively high.

(3) Hysteroscopy: It is mainly used to understand the internal conditions of the uterine cavity, especially the opening of the fallopian tube. It can also be used to insert a tube and pass fluid to determine whether the fallopian tube is unobstructed, but it cannot determine the location and degree of blockage of the fallopian tube, because the fallopian tube is a tubular structure extending from the uterus.

(4) Hydrotubation: Hydrotubation has been abandoned by the World Health Organization because it is a blind procedure that makes it impossible to see the specific progress of the injected fluid in the patient's body, and it is impossible to determine the location and nature of the fallopian tube obstruction. It also may cause the risk of fallopian tube rupture and massive bleeding.

(5) Hysterosalpingography: Hysterosalpingography is currently the best method to check whether the fallopian tubes are unobstructed. The examination is performed under the full control of a computer, and the morphology of the cervix, uterus and bilateral fallopian tubes when the contrast agent fills the cervix, uterus and bilateral fallopian tubes is observed. At the same time, the film is taken to leave a record to understand whether the fallopian tubes are unobstructed, the location of the fallopian tube obstruction, and the morphology of the uterus and fallopian tubes. It still has an irreplaceable role in clinical applications.