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[输卵管间质部息肉相关不孕。26例显微手术治疗经验]

[Infertility associated with polyps of the interstitial portion of the fallopian tubes. Experience with 26 cases treated by microsurgery].

作者信息

Salat-Baroux J, Antoine J M, Dubois J G

机构信息

Maternité Guy Le Lorier, Hôpital Tenon, Paris.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1989;18(2):235-9.

PMID:2656838
Abstract

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.

摘要

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。

相似文献

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Microsurgical resection of intramural tubal polyps.输卵管壁内息肉的显微手术切除
Fertil Steril. 1983 Aug;40(2):258-9. doi: 10.1016/s0015-0282(16)47247-x.
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The surgical treatment of tubal polyps.输卵管息肉的外科治疗
Aust N Z J Obstet Gynaecol. 1989 Feb;29(1):79-81. doi: 10.1111/j.1479-828x.1989.tb02886.x.

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