Roland M, Leisten D
Acta Obstet Gynecol Scand. 1977;56(4):419-26. doi: 10.3109/00016347709155004.
Reconstructive oviductal surgery was performed on 205 private patients with primary and secondary infertility, who were selected from 1075 endoscopic examinations. Each patient underwent an infertility survey which included gamete formation, reception and deposition of gametes, nidation, post-coital, and semen analysis. Only those with tubal abnormalities, not responding to conservative therapy after a minimum period of six months following laparoscopic examination, were selected for tuboplasty. Spiral stents for fimbrioplasty and straight teflon tubing for mid-portion and cornua obstruction were employed. These stents were removed eight weeks post-surgery, under local anesthesia at the office. Of the 205 tuboplasties, 193 patients had sustained patency; 75 conceived; 7 aborted; and 1 had an ectopic pregnancy. Pregnancy occurred between 1 and 26 months after removal of the stents. Complications were very few. The use of Roland spiral teflon stents has resulted in a greater percentage in patency and pregnancy rates, as compared to those without use of stents.
对从1075例内镜检查中筛选出的205例原发性和继发性不孕的门诊患者实施了输卵管重建手术。每位患者都接受了不孕症检查，包括配子形成、配子的接纳与输送、着床、性交后检查以及精液分析。仅对那些在腹腔镜检查后至少6个月保守治疗无效的输卵管异常患者进行输卵管成形术。采用螺旋支架进行伞端成形术，使用直管特氟龙管治疗输卵管中段和角部梗阻。这些支架在术后8周于诊室在局部麻醉下取出。在205例输卵管成形术中，193例患者输卵管保持通畅；75例受孕；7例流产；1例发生宫外孕。妊娠发生在支架取出后1至26个月之间。并发症极少。与未使用支架的情况相比，使用罗兰螺旋特氟龙支架使输卵管通畅率和妊娠率更高。
