Keckstein G, Keckstein S, Wolf A S, Schneider V, Steiner R
Department of Gynecology and Obstetrics, University of Ulm, Germany.
Int J Fertil. 1992 Mar-Apr;37(2):82-5.
Between October 1987 and January 1990, 60 patients with unruptured ectopic pregnancy in the ampullary portion of the tube were treated with linear salpingotomy, using the argon laser laparoscopically. In all cases, salpingotomy was performed by the "bare-fiber" technique, with a power of 3-6 watts. The same fiber was used for incision and coagulation either with a contact or a non-contact technique. There were no instrument-related intra- or postoperative complications. Twenty-four patients were evaluated by second-look laparoscopy or hysterosalpingography for tube patency and possible formation of adhesions. In all of these patients the tubes were patent. In one patient, the tube failed to close, resulting in a fistula. Four patients had filmy adhesions, covering the tube near the incision site. There were no adhesions covering the distal part of the tube.
1987年10月至1990年1月期间，60例输卵管壶腹部未破裂异位妊娠患者接受了腹腔镜下氩激光线性输卵管切开术治疗。所有病例均采用“裸光纤”技术进行输卵管切开术，功率为3 - 6瓦。同一根光纤用于通过接触或非接触技术进行切开和凝固。没有与器械相关的术中或术后并发症。24例患者通过二次腹腔镜检查或子宫输卵管造影评估输卵管通畅情况及是否可能形成粘连。所有这些患者的输卵管均通畅。1例患者输卵管未能闭合，形成瘘管。4例患者有薄膜状粘连，覆盖切口部位附近的输卵管。输卵管远端未发现粘连。
