ObjectiveTo investigate the relationship between salpingoscopy substituted by hysteroscopy score and revised American Fertility Society (r-AFS) score and pregnancy outcome. MethodsA total of 228 infertile patients due to hydrosalpinx, who underwent laparoscopic surgery, were selected. Hysteroscopy was used instead of the salpingoscopy during the operation to score the hydrosalpinx ampulla mucosa, and the r-AFS was used to score the degree of the appendix adhesion. The relationship between salpingoscopy substituted by hysteroscopy score, r-AFS score and pregnancy outcome was studied. ResultsThere were 395 fallopian tubes in 228 patients, 61 of which had 61 fallopian tubes (8 fallopian tubes were removed preoperatively due to ectopic pregnancy in 8 patients, 53 fallopian tubes were removed intraoperatively due to tubal obstruction in 53 patients), and 167 patients had 334 fallopian tubes. The spontaneous pregnancy rate of patients with hysteroscopy instead of salpingoscopy score in grade Ⅰ was higher than that of patients with other grades, and the spontaneous pregnancy rate of patients with r-AFS score in grade Ⅰ was higher than that of patients with grade Ⅱ and Ⅲ (all P＜0.05). ConclusionSalpingoscopy substituted by hysteroscopy score and r-AFS score have certain guiding value in predicting the outcome of the pregnancy and the selection of treatment methods. Moreover, the price of hysteroscopy is lower than that of salpingoscopy, so it can be promoted and applied in primary hospitals.

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