McComb P F, Paleologou A
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada.
Obstet Gynecol. 1991 Sep;78(3 Pt 1):443-7.
A new technique of salpingostomy by laparoscopy for treatment of distal oviductal occlusion is described. This technique uses sharp dissection and can be performed rapidly. The intussusception salpingostomy is undertaken by making a relatively short incision in the hydrosalpinx and then prolapsing the tubal mucosa through this neostium. The borders of the incision thus act as a restrictive collar to maintain the mucosa in this newly everted configuration. In a series of 40 women subjected to this procedure, 22 were followed for more than 12 months postoperatively; the term pregnancy rate was 22.7%. This fertility is similar to that after salpingostomy by microsurgical laparotomy.
本文描述了一种通过腹腔镜进行输卵管造口术治疗远端输卵管阻塞的新技术。该技术采用锐性分离，操作迅速。套叠式输卵管造口术是在输卵管积水处做一个相对较短的切口，然后将输卵管黏膜通过这个新造口翻出。切口边缘起到限制环的作用，使黏膜保持在这种新外翻的形态。在接受该手术的40名女性中，22名在术后随访了12个月以上；足月妊娠率为22.7%。这种受孕率与显微外科剖腹输卵管造口术后的受孕率相似。
