25200821
OBJECTIVE	Tubal factor accounts for 25-30 % of cases of female infertility .
OBJECTIVE	Laparoscopy `` Gold Standard '' for tubal evaluation .
OBJECTIVE	However , it is known that during the initial infection of the fallopian tube mucosal damage occurs , a condition which plays a decisive role in reproduction .
METHODS	In this prospective randomized study , 468 infertile women with evidence of fallopian tube disease were included .
METHODS	In this , for 256 patients ( group 1 ) after laparoscopic salpingolysis , salpingostomy we performed an additional step operation transcervical falloposcopy tubal dilatation ( TFTD ) .
METHODS	212 patients ( group 2 ) produced only laparoscopic salpingolysis , salpingostomy .
RESULTS	As a result , TFTD patency of the fallopian tubes for coaxial catheter was restored in 50 ( 78 % ) of 64 tubes with bilateral total occlusion , in 238 ( 93 % ) of 254 with partial occlusion of the bilateral , in 14 ( 58 % ) of 24 total unilateral occlusion and 26 ( 92 % ) of 28 with partial unilateral occlusion .
RESULTS	Total number of pregnancies for one year in the first group of patients was 152 ( 59.3 % ) , in the second 57 ( 27.1 % ) , of which in the first group 147 - intrauterine pregnancies ( 57.4 % ) and in the second - 46 ( 21.7 % ) .
CONCLUSIONS	Falloposcopy surgeon provides good opportunities for the diagnosis and treatment of intralumen lesions .
CONCLUSIONS	Significant increase in the frequency of uterine pregnancy in the case of an additional step - TFTD during salpingolysis , salpingostomy in patients with tubal factor infertility .

