Abstract: Abstract Objective: To investigate the clinical characteristics and post-operation outcome in infertile women following tubal pregnancy. Methods: We retrospectively analyzed the data of consecutive in-hospital female infertility cases which the last pregnancy was tubal pregnancy and rule out male infertility from Dec 2008 to Aug 2009. Results: A total of 602 female infertility cases was admitted to Pingjin Hospital, Medical College of Chinese People’s Armed Policed Forces during this period. In these patients, infertility following tubal pregnancy accounted for 15.1% (91/602). All of them were managed with a combined interventional procedure (laparoscopy and hysteroscopy) in our department. Under laparoscopy the gross pathological changes of fallopian tubes involved normal appearance (20.7%), dropsy and atresia (23.3%), adhesions (59.3%), partial resection (10.7%), and other diseases of pelvic cavity (14.3%). After laparoscopic operation, infertility case with tubal blockage accounted for 63.3% under hysteroscopic tubal catheterization. The patency rate of blocked fallopian tubes after hysteroscopy directed guidewire tubal catheterization was 66.3%. Conclusion: previous tubal pregnancy which cause abnormal oviduct morphology and tubal blockage is the important reason of female infertility. Laparoscopy and hysteroscopy can advantage infertility women due to previous tubal pregnancy to resume reproductive.

Key words: Tubal pregnancy, Infertility, Laparoscopy, Hysteroscopy, Fluid infusion of fallopian tubes, Tubal involvement