[目的]探讨囊胚培养及移植对输卵管积水结局的影响。[方法]随机选择2009年1～10月因不孕症在某研究中心行IVF-ET助孕患者145例,分为输卵管积水组,输卵管梗阻无积水组及非输卵管因素组。常规超促排卵,取卵,受精后做囊胚培养移植。观察植入率、临床妊娠率、流产率和异位妊娠率。[结果]3组患者植入率、临床妊娠率、流产率和异位妊娠率差异无统计学意义。[结论]囊胚培养移植能提高输卵管积水妊娠率。 [Objective] To investigate the effect of blastocyst culture and transplantation on hydrosalpinx outcome. [Methods] One hundred and fourteen patients with IVF-ET-assisted pregnancy in a research center were randomly selected from January to October in 2009 and divided into hydronephrosis, tubal obstruction and non-tubal factors. Conventional ovulation, ovulation, fertilization after blastocyst culture transplant. Observe the implantation rate, clinical pregnancy rate, abortion rate and ectopic pregnancy rate. [Results] The implantation rate, clinical pregnancy rate, miscarriage rate and ectopic pregnancy rate in the three groups showed no significant difference. [Conclusion] The blastocyst culture can improve the pregnancy rate of hydrosalpinx.