Lober R, Römer T, Göretzlehner G, Nikschick S
Klinik und Poliklinik für Gynäkologie und Geburtshilfe des Bereichs Medizin der Ernst-Moritz-Arndt-Universität, Greifswald, Bundesrepublik Deutschland.
Zentralbl Gynakol. 1991;113(6):309-15.
With 97 female patients who underwent a microsurgical operation of sterility the respectively less damaged tube has been assessed during the diagnostic laparoscopy and during the second-look-laparoscopy with the help of an adhesions-score and a chromopertubation-score. On 92 tubes only one operation was carried out, whereas on five tubes the proximate operation was combined with a distal one. After all methods of operations markedly better adhesions-scores and chromopertubations-scores were achieved. The postoperative adhesions-score was in 79.4% of all cases better than preoperative original value. The chromopertubation-score was postoperatively better in 72.2% of the tubes. 25.8% were macroscopically unobtrusive during the second-look-laparoscopy. After combined distal and proximal operations on one tube favorable postoperative laparoscopic results could be achieved, too.
对97例行显微外科绝育手术的女性患者，在诊断性腹腔镜检查期间以及二次腹腔镜检查期间，借助粘连评分和输卵管通液评分对损伤相对较小的输卵管进行了评估。92根输卵管仅进行了一次手术，而5根输卵管近端手术与远端手术相结合。所有手术方法实施后，粘连评分和输卵管通液评分均明显改善。术后粘连评分在79.4%的病例中优于术前初始值。72.2%的输卵管术后输卵管通液评分有所改善。25.8%在二次腹腔镜检查时肉眼观察无明显异常。对一根输卵管进行远端和近端联合手术后，也可获得良好的术后腹腔镜检查结果。
