Salat-Baroux J, Antoine J M, Dubois J G
Maternité Guy Le Lorier, Hôpital Tenon, Paris.
J Gynecol Obstet Biol Reprod (Paris). 1989;18(2):235-9.
Twenty-six patients with infertility, from two to ten years, associated to 21 bilateral and 5 unilateral (with contralateral salpingectomy) cornual polyps, underwent a microsurgical procedure, either by resection and anastomosis in 19 cases, or a simple polypectomy in 5 cases and a mixed procedure in 2 cases. The rate of patency, at least for one tube, was 88.5%. The rate of intra-uterine pregnancies was 46.4% (10/26 cases, 38.5%, achieved a full term pregnancy). It is concluded that the surgical procedure, either resection of the intra-mural segment of the tube, or a simple polypectomy, must be considered in case of large polyps, after at least three years of infertility.
26例不孕患者,年龄在2至10岁之间,伴有21例双侧和5例单侧(对侧输卵管已切除)宫角息肉,接受了显微外科手术,其中19例行切除吻合术,5例行单纯息肉切除术,2例行混合手术。至少一侧输卵管通畅率为88.5%。宫内妊娠率为46.4%(26例中有10例,38.5%成功足月妊娠)。得出结论:在不孕至少三年后,如果存在大的息肉,必须考虑手术治疗,无论是切除输卵管壁内段还是单纯息肉切除术。