Pelzer V, Severing K, Schlösser H W
Universitäts-Frauenklinik Düsseldorf.
Geburtshilfe Frauenheilkd. 1990 Jun;50(6):463-6. doi: 10.1055/s-2008-1026282.
During the period from 1976 to 1986, 179 women were operated at the Department of Gynaecology of the University of Düsseldorf. In 112 patients conservative techniques were used to retain the Fallopian tube. Of these 112, a group of 24 patients had a functioning adnexa on only one side at the time of operation. The conceptions of these women were investigated. In 8 of these patients, an intrauterine pregnancy occurred. 6 of these 8 patients had a salpingotomy, 1 woman underwent resection with immediate anastomosis and in another case both Fallopian tubes were treated (left Fallopian tube: reanastomosis status post resection three years earlier, right Fallopian tube: immediate anastomosis). 7 patients had a repeat ectopic pregnancy. Of these cases, direct anastomosis was performed 5 times and salpingotomy twice. 7 patients did not fall pregnant again. The Fallopian tubes of 6 patients were found to be open upon subsequent examination, while only one was found to be closed. One patient could not be followed-up, and one had neither a subsequent examination nor became pregnant again.
1976年至1986年期间，杜塞尔多夫大学妇科为179名女性实施了手术。112例患者采用保守技术保留输卵管。在这112例患者中，有一组24例患者在手术时仅一侧附件功能正常。对这些女性的受孕情况进行了调查。其中8例患者发生了宫内妊娠。这8例患者中有6例行输卵管切开术，1例女性接受了切除并立即吻合，另1例双侧输卵管均接受了治疗（左侧输卵管：3年前切除术后再吻合，右侧输卵管：立即吻合）。7例患者再次发生异位妊娠。在这些病例中，直接吻合术进行了5次，输卵管切开术进行了2次。7例患者未再次怀孕。随后检查发现6例患者的输卵管通畅，而仅1例不通畅。1例患者失访，1例既未接受后续检查也未再次怀孕。
