ObjectiveTo investigate the related factors influencing the pregnancy rate after laparoscopy in the patients with hydrosalpinx, thus to provide a reliable basis for improving the pregnancy rate after laparoscopic surgery. MethodsA total of 200 patients with hydrosalpinx who underwent laparoscopic surgery were enrolled. The clinical data were retrospectively analyzed. The pregnancy rate of the patients during 2-year follow-up after laparoscopic surgery was statistically analyzed. According to the pregnancy, the patients were divided into pregnant group (n=69) and non-pregnant group (n=131), and the factors influencing the postoperative pregnancy rate was analyzed. ResultsIn the 200 patients with hydrosalpinx, successful pregnancy was found in 69 case during 2-year follow-up after laparoscopic surgery, and the pregnancy rate was 34.50%. In the univariate analysis, there were significant differences in the age, the length of infertility, the history of pelvic and abdominal surgery and the degree of pelvic cavity and fallopian tube diseases between the pregnant group and non-pregnant group (P＜0.05). Further multivariate Logistic regression analysis was conducted. The age, length of infertility, history of pelvic and abdominal surgeries, and the degree of fallopian tube diseases were the main factors influencing the pregnancy rate after laparoscopic surgery in the patients with hydrosalpinx. ConclusionThe pregnancy rate of the patients with hydrosalpinx after laparoscopic surgery is affected by the factors such as age, the length of infertility, history of pelvic and abdominal surgery, and the degree of fallopian tube diseases. Individualized intervention should be performed clinically according to the above factors.

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