Fioretti P, Teti G, Maffei S, Murru M S
Istituto di Ginecologia ed Ostetricia, Università degli Studi di Pisa.
Ann Ostet Ginecol Med Perinat. 1990 Jul-Aug;111(4):239-44.
The purpose of this study is to determine the advantages of surgical procedures performed on tubal sterility. The results of tubal reconstructive microsurgery are reported on the basis of the type of surgical procedure: lysis of adhesion (13 cases); terminal salpingoneostomy and combined procedures (23 cases); unilateral tubo-tubal anastomosis (1 case). Twenty out of 36 patients had adequate follow up: uterine pregnancy was achieved in 50% of patients who had a pure microsurgical lysis of adhesions and in 41.6% of patients who had a microsurgical salpingostomy. The ectopic pregnancy rate was 0%. The percentage of success in terms of uterine pregnancies obtained agrees with that of many other authors.
本研究的目的是确定针对输卵管性不孕所实施手术的优势。输卵管重建显微手术的结果是根据手术类型报告的：粘连松解术（13例）；输卵管末端造口术及联合手术（23例）；单侧输卵管吻合术（1例）。36例患者中有20例得到了充分随访：单纯显微粘连松解术患者中50%实现了宫内妊娠，显微输卵管造口术患者中41.6%实现了宫内妊娠。异位妊娠率为0%。所获得的宫内妊娠成功率与许多其他作者的结果一致。
