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02 January 2019, Volume 35 Issue 1 Previous Issue    Next Issue

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Basic anatomical research of the fallopian tube and its correlation with the vascular supply of the ovary. LIU Ping，HE Jun-shen 2019, 35(1): 52-55.  DOI: 10.19538/j.fk2019010112 Abstract ( )   Fallopian-tubal diseases are not rare in clinical practise that not only damage the fertility of female，but also are lethal under certain circumstances.Hence OBGYN doctors should gain an insight into the anatomy related to the fallopian tube.Here we discuss the current status of the anatomical research on fallopian tube and introduce its correlation with the vascular supply of the ovary.

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Key factor analysis of the treatment for severe distal tubal diseases. GUAN Jing，CAI He 2019, 35(1): 55-59.  DOI: 10.19538/j.fk2019010113 Abstract ( )   Severe tubal disease remains an important factor in female infertility.The fertility outcomes for patients with tubal disease with hydrosalpinx is reduced by half compared with patients without hydrosalpinx.Neosalpingostomy can improve pregnancy rates since it eliminates retrograde flow of the hydrosalpingx fluid into the cavity while offering the potential for spontaneous conception.The efficacy of the restorative surgery is related to tubal damage and the skills of the surgeon.This study is to demonstrate step-by-step the technique of laparoscopic neosalpingostomy，aiming to help increase the fertility rate as well as lower the risk of recurrence.

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Problems that should be emphasized in the diagnosis and treatment of tubal pregnancy. CHEN Chun-lin，MENG Fan-liang 2019, 35(1): 59-64.  DOI: 10.19538/j.fk2019010114 Abstract ( )   Tubal pregnancy is common and is in lack of detailed clinical research.It seems to be simple to diagnose and easy to handle，but once it is ignored，it can lead to serious consequences and even death.With the changes in today's social environment and people's concept，and with the widespread use of IVF and other technologies，new cases have emerged in tubal pregnancy.We should re-emphasize the diagnosis and treatment of tubal pregnancy.

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In-depth analysis of damage to the fallopian tubes caused by endometriosis. XIANG Yu-ting，BAI Wen-pei 2019, 35(1): 64-67.  DOI: 10.19538/j.fk2019010115 Abstract ( )   Endometriosis is associated with female infertility，but the underlying mechanism has not been fully understood.As is reported，endometriosis can cause tubal obstruction，hydrosalpinx，tubal adhesion and microstructural damage.Also，the ectopic implants may result in decreased ciliary beat frequency and weakened muscular contractile activity of the tube，as well as abnormal components of tubal fluid.All these changes lead to impaired female fertility.This review focuses on the damage to the structure and function of fallopian tube caused by endometriosis.

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Choice of diagnostic methods in tubal obstructive diseases. MAO Yun-dong 2019, 35(1): 68-72.  DOI: 10.19538/j.fk2019010116 Abstract ( )   This review introduces the tubal liquid instillations，hysterosalpingography（HSG），two-dimensional/three-dimensional and dynamic three-dimensional（four-dimensional）hysterosalpingo-contrast sonography，MRI-HSG，tubal patency test by hysteroscopy  and  hysteroscopy-laparoscopy.We compares the advantages and disadvantages of various kinds of tests，mainly the different characteristics of oil-based or water-based contrast medium，and the high false positive rate of HSG diagnosis of proximal obstruction，etc，in order to enable the readers to choose suitable tubal evaluation methods according to the conditions of their unit.

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Pathological characteristics of inflammatory diseases in the fallopian tube. ZHAN Yang，LIU Cong-rong 2019, 35(1): 72-76.  DOI: 10.19538/j.fk2019010117 Abstract ( )   The fallopian tube has received more and more attention.In addition to neoplasms，the fallopian tubal inflammatory diseases are relatively common.The fallopian tube has an important physiological function in reproductive process.Inflammatory diseases caused by tubal infection are also an increasingly serious problem.It is very necessary to be familiar with the diagnosis and differential diagnosis of tubal inflammatory changes，which will increase the rate of correct diagnosis and help the patients with infertility.Inflammatory lesions of the fallopian tube mainly include infectious salpingitis and other non-neoplastic lesions accompanied by inflammatory cell infiltration.

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Diagnostic value of hysterosalpingography. ZHENG Xing-bang，GUAN Jing 2019, 35(1): 77-80.  DOI: 10.19538/j.fk2019010118 Abstract ( )   Tubal infertility accounts for 25%-35% of female infertility and hysterosalpingography（HSG）is the first line diagnostic method.In this article，we will discuss the HSG diagnostic criteria of tubal partial occlusion，tubal proximal occlusion，salpingitis isthmica nodosum，hydrosalpinx，pelvic adhesion and pelvic tuberculosis in order to provide guidance in the clinical diagnosis and prognosis evaluation.

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Evidence-based medical evidence of prophylactic bilateral salpingectomy. LU An-wei，ZHOU Li 2019, 35(1): 80-83.  DOI: 10.19538/j.fk2019010119 Abstract ( )   Clinical data indicated that the fallopian tube may be related to high-level serous ovarian cancer.Current studies show that prophylactic bilateral salpingectomy can reduce the risk of ovarian cancer  in premenopausal women and it has been used as a primary prevention of ovarian cancer.In recent years，much more attention has been paid to the value of prophylactic bilateral salpingectomy in preventing ovarian cancer.We will discuss the value of prophylactic bilateral salpingectomy and its effect on ovarian function.

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Interventional therapy for fallopian tube obstructive infertility. WANG Tian-ping，ZHANG Guo-fu 2019, 35(1): 83-86.  DOI: 10.19538/j.fk2019010120 Abstract ( )   Fallopian tube obstruction accounts for 30%-50% of female infertility.In patients with complete or partial obstruction of the fallopian tube diagnosed by hysterosalpinography（HSG），after performed by selective salpingography（SSG）and fallopian tube recanalization（FTR）can not only eliminate the false positive results in most of the examinations，but also dredge the fallopian tube and improve the patency of the fallopian tube.This is an important method to treat fallopian tube obstructive infertility.

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Relationship between fallopian tube abnormality and repeated failure of IVF. WANG Zi-hao，WANG Wan-tong 2019, 35(1): 86-91.  DOI: 10.19538/j.fk2019010121 Abstract ( )   Repeated IVF failure has been a pain point in the assisted reproductive process.The fallopian tube has long been considered as a conduit for transportation，ignoring its important role in embryo implantation.The main reasons for the repeated failure of IVF are embryonic factors，endometrial receptivity and other factors.The article mainly focuses on the effects of various types of fallopian tube lesions on the above three factors，and analyzes the relationship between various oviduct chronic inflammatory lesions and IVF failure.

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Clinical indications for recanalization following tubal sterilization. YU Xiao-ming 2019, 35(1): 91-94.  DOI: 10.19538/j.fk2019010122 Abstract ( )   For women planning pregnancy after tubal sterilization，they have to choose tubal recanalization or vitro fertilization（IVF）.The important factors for determining the successful pregnancy after recanalization are the age of patient，the remaining length of tube，the type of sterilization initially performed and the technique of tubal recanalization.For women <35 years who are without other infertility factors，tubal recanalization is suitable，whereas if women >40 years who are with electrocoagulation as the method of sterilization，they are suitable for IVF.Nevertheless，for the rest ones，there is no evidence showing which strategy is likely to be more effective.