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Interventions in women with one blocked oviduct, lessons learnt and recommendations: A case report

机译：输卵管阻塞的妇女干预措施，经验教训和建议：病例报告

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Women can still conceive naturally or through in vitro fertilization (IVF) with the one oviduct that is properly functioning if only one oviduct is blocked, however, the chances are decreased particularly if the blockage is close to the ovary (hydrosalpinx) because of wash out phenomena and toxic fluid produced by the fallopian tube that is blocked. In situations where only a single tube has hydrosalpinx specialists should advise patients appropriately and must be given options, to choose between undergoing salpingostomy, a surgical process that involves tubal reconstruction to expand their odds of getting pregnant naturally by removing the blockage or IVF treatment. For women with one working oviduct specialists must be on the lookout for ectopic pregnancy. This will enable early diagnosis of ectopic pregnancy and a treatment technique that spares the tube can be utilized. The patient is a woman of African origin with blood group O staying at Manyame Park Harare. She has never married before and has been trying to get pregnant from 2005. She eventually got a successful pregnancy in 2014 and delivered first child in 2015 after several interventions. Her infertility was initially due to the presence of hydrosalpinx on the left fallopian tube, scarring in the fimbriae of left tube, high prolactin level and was subsequently due to loss of the only working tube after ectopic pregnancy. The patient got pregnant whilst she was on bromocriptine, unfortunately the pregnancy did not last to full term. Chlomiphene was later added to her drug regiment and after six cycles she had an ectopic pregnancy which destroyed her only working tube. The patient then tried IVF treatments to achieve pregnancy. She underwent two IVF treatment cycles which failed to achieve pregnancy. The patient finally underwent tubal reconstruction microsurgery which enabled her to have two successful natural pregnancies. Gynaecologists must be vigilant in diagnosis of infertility factors and should give enough appropriate information to female patients when making decisions concerning fertility interventions.
机译：如果只有一个输卵管被阻塞，女性仍然可以自然地或通过体外受精（IVF）进行受孕，其中一个输卵管可以正常运作，但是，由于冲洗而使阻塞物靠近卵巢（输卵管输卵管）时，机会减少了。现象和输卵管产生的有毒液体被阻塞。在只有一根输卵管输卵管积水的情况下，专家应适当建议患者，并且必须给予选择，以在输卵管造口术之间进行选择，输卵管造口术是一种输卵管重建术，旨在通过消除阻塞或IVF治疗扩大自然怀孕的几率。对于只有一个输卵管正常工作的女性，必须注意异位妊娠。这将使异位妊娠的早期诊断成为可能，并且可以使用多余的治疗技术。该患者是来自非洲的一名血统为O的妇女，她留在Manyame Park Harare。她从未结婚过，一直试图从2005年开始怀孕。她最终在2014年成功怀孕，并在多次干预后于2015年分娩了第一胎。她的不孕症最初是由于左输卵管上存在输卵管积水，左管的菌毛结疤，催乳素水平高，随后是由于异位妊娠后唯一的工作管丢失。该患者在服用溴隐亭时怀孕，但不幸的是，怀孕并没有持续到足月。后来克洛芬被添加到她的药物治疗方案中，六个周期后，她发生了异位妊娠，这摧毁了她唯一的工作管。然后，该患者尝试了IVF治疗以达到怀孕的目的。她经历了两个试管婴儿治疗周期，均未能怀孕。患者最终进行了输卵管重建显微手术，这使她得以成功两次自然怀孕。妇科医生必须对不育因素的诊断保持警惕，并在做出有关生育干预措施的决定时应向女性患者提供足够的适当信息。

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