关键词: 不育, 女（雌）性, 输卵管疾病, 输卵管阻塞, 妊娠, 异位, 外科手术, 微创性

Abstract: The goal of infertile couples are to achieve pregnancy via exploring all reasonable attempts. The infertile couples who are due to tubal disease, account for more than 20% of all infertile couples, have two options to achieve this goal: minimally invasive tubal surgery and in vitro fertilization（IVF）. In most cases, the decision-making process requires detailed and effective discussion on the curative effect, side effect and cost of the procedures. The available evidence shows that tubal surgery can be more effective for cases of tubal adhesions, mild distal tubal occlusion, proximal obstruction and ectopic pregnancy. A successful tubal reconstructive surgery can not only make infertile couples to avoid further treatment, but also obtain the psychological advantage to conceive naturally. Before or during IVF treatment, individualized minimally invasive surgery treatment which according to tubal pathological changes, can improve the curative effect of IVF, intrauterine pregnancy rate and live birth rates. The incidence of ectopic pregnancy（EP） in IVF cycle is higher than that of natural population, minimally invasive surgery treatment for EP not only less trauma, but also can reduce the impact on subsequent IVF as far as possible. Now the most pragmatic viewpoint is to consider reproductive surgery and in vitro fertilization as complementary options that are directed towards increasing the overall probability of achieving a pregnancy in the most efficient manner.

Key words: Infertility, female, Fallopian tube diseases, Fallopian tube obstruction, Pregnancy, ectopic, minimally invasive