Brumsted J R, Deaton J, Lavigne E, Riddick D H
Department of Obstetrics and Gynecology, University of Vermont College of Medicine, Burlington 05405.
Fertil Steril. 1990 Apr;53(4):723-6.
A rabbit model was used to examine adhesion formation after ovarian wedge resection with and without reapproximation of the ovarian cortex. A wedge resection was completed on one ovary with a scalpel, and the ovarian cortex was reapproximated using microsurgical technique. In the contralateral ovary, a wedge resection was performed using the Nd:YAG laser and the cortex was left to heal by secondary intention. A second laparotomy was performed and the adhesion scores were compared between the two adnexa. In 17 of 19 rabbits, the adhesion score was greater on the side where ovarian reconstruction had been performed. No difference was noted in adhesion scores when, in our preliminary studies presented herein, laser and scalpel wedge resections were both followed by reapproximation of the cortex. These data have ramifications for conservative ovarian surgery performed both at laparotomy and laparoscopy.
采用兔模型研究卵巢楔形切除术后，在卵巢皮质重新对合和不重新对合的情况下粘连的形成。用手术刀在一侧卵巢完成楔形切除，并用显微外科技术使卵巢皮质重新对合。在对侧卵巢，使用Nd:YAG激光进行楔形切除，皮质任其二期愈合。进行第二次剖腹手术，并比较两侧附件的粘连评分。19只兔子中有17只，进行卵巢重建一侧的粘连评分更高。在本文介绍的我们的初步研究中，当激光和手术刀楔形切除术后均进行皮质重新对合时，粘连评分没有差异。这些数据对开腹手术和腹腔镜下进行的保守性卵巢手术均有影响。
