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[输卵管显微外科手术]

[Microsurgery of the fallopian tube].

作者信息

Hohl M K

机构信息

Kantonsspital Baden, Schweiz.

出版信息

Arch Gynecol Obstet. 1989;245(1-4):405-8. doi: 10.1007/BF02417345.

DOI:10.1007/BF02417345
PMID:2802730
Abstract

The goal of infertility surgery is to restore anatomic relationship to as close to normal as possible maximizing the chances for conception and intrauterine pregnancy. The outcome has been markedly, improved by the advent of microsurgical techniques. More than 10 years of microsurgical experience have enabled us to clearly define situations where infertility surgery is especially successful. In refertilization after tubal sterilization, the results with microsurgery are unsurpassed. In proximal, but also distal, postinfectious tubal disease, intrauterine pregnancy rates are clearly better than those achieved with in vitro fertilization or other techniques.

摘要

不孕不育手术的目标是尽可能将解剖关系恢复至接近正常状态,从而最大程度增加受孕及宫内妊娠的几率。显微外科技术的出现显著改善了手术效果。超过10年的显微外科经验使我们能够清晰界定不孕不育手术特别成功的情况。在输卵管绝育后的再通手术中,显微外科手术的效果无与伦比。在近端以及远端感染后输卵管疾病中,宫内妊娠率明显高于体外受精或其他技术所取得的妊娠率。

相似文献

1
[Microsurgery of the fallopian tube].[输卵管显微外科手术]
Arch Gynecol Obstet. 1989;245(1-4):405-8. doi: 10.1007/BF02417345.
2
[Value of microsurgery in the treatment of infertility of tubal origin].[显微外科手术在输卵管性不孕治疗中的价值]
Rev Med Liege. 1985 Jun 1;40(11):453-8.
3
[Value of microsurgical operations of tubal-induced sterility--selection for extracorporeal fertilization].[输卵管性不孕显微外科手术的价值——体外受精的选择]
Geburtshilfe Frauenheilkd. 1986 Nov;46(11):825-8. doi: 10.1055/s-2008-1035975.
4
[Indications for and results of microsurgical procedures for the treatment of female sterility].[女性不育症显微外科治疗的适应症及结果]
Gynakologe. 1990 Aug;23(4):196-202.
5
Organ-preserving and reconstructive microsurgery of the fallopian tubes in tubal infertility: still an alternative to in vitro fertilization (IVF).保留和重建输卵管的显微外科手术治疗输卵管性不孕:仍然是体外受精(IVF)的替代方法。
J Reconstr Microsurg. 2010 Jul;26(5):317-23. doi: 10.1055/s-0030-1249315. Epub 2010 Mar 1.
6
[Current status in surgical treatment possibilities in tubal disorders].[输卵管疾病外科治疗可能性的现状]
Gynakologe. 1991 Feb;24(1):41-6.
7
[Microsurgical therapy in tubal sterility].[输卵管性不孕的显微外科治疗]
Zentralbl Gynakol. 1990;112(21):1325-9.
8
Progress in tubal surgery.
Clin Obstet Gynaecol. 1981 Dec;8(3):653-79.
9
[The current role of microsurgery and in vitro fertilization in the treatment of tubal infertility].[显微外科手术与体外受精在输卵管性不孕治疗中的当前作用]
Rev Fr Gynecol Obstet. 1985 Aug-Sep;80(8-9):607-12.
10
[Results of refertilization with end-to-end anastomosis following microsurgical sterilization].[显微外科绝育术后端端吻合复孕的结果]
Ther Umsch. 1980 Jun;37(6):473-8.

本文引用的文献

1
Salpingostomy--a critical study of 396 personal cases operated upon without polythene tubing.
Proc R Soc Med. 1960 May;53:357-9.
2
Tubal plastic surgery; report of a survey.输卵管整形手术;一项调查的报告。
Fertil Steril. 1956 Mar-Apr;7(2):170-7. doi: 10.1016/s0015-0282(16)32289-0.
3
Is microsurgery necessary for salpingostomy? The evaluation of results.输卵管造口术有必要进行显微手术吗?结果评估。
Aust N Z J Obstet Gynaecol. 1981 Aug;21(3):143-52. doi: 10.1111/j.1479-828x.1981.tb00906.x.
4
Infertility surgery of the oviduct.
Fertil Steril. 1971 Aug;22(8):496-503.
5
Current state and future of IVF.体外受精的现状与未来
Clin Obstet Gynaecol. 1985 Dec;12(4):753-66.
6
[Microsurgery in gynecology--indications, results and limitations].[妇科显微手术——适应证、结果及局限性]
Ther Umsch. 1987 May;44(5):350-7.