Siegler A M
Acta Obstet Gynecol Scand. 1977;56(4):415-7. doi: 10.3109/00016347709155003.
Techniques in measuring tubal patency and interpretation of findings can be misleading. Laparoscopic study of infertile women with suspected, diseased fallopian tubes is always prerequisite to tuboplasty. Observations must be accompanied by intrauterine injection of adequate amounts of dye and gentle tubal manipulations. Determined efforts should be made to eliminate reconstructive operations on nonsalvageable tubes because successful term pregnancies following tuboplasties are related more to the extent of tubal damage than to operative technique or postoperative management.
测量输卵管通畅性的技术及检查结果的解读可能会产生误导。对于疑似输卵管病变的不孕女性,腹腔镜检查始终是输卵管修复成形术的前提条件。检查时必须向宫腔内注入适量造影剂并轻柔地操作输卵管。应下定决心避免对无法修复的输卵管进行重建手术,因为输卵管修复成形术后成功足月妊娠更多地与输卵管损伤程度有关,而非手术技术或术后管理。