Hohl M K
Kantonsspital Baden, Schweiz.
Arch Gynecol Obstet. 1989;245(1-4):405-8. doi: 10.1007/BF02417345.
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.
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。