Marana R, Quagliarello J
Department of Obstetrics and Gynecology Catholic University, Sacred Heart School of Medicine, Rome, Italy.
Int J Fertil. 1988 Mar-Apr;33(2):107-15.
The success of in vitro fertilization (IVF) has established it as a viable alternative in the treatment of infertility associated with distal tubal occlusion (DTO). In an attempt to adequately counsel patients with DTO as to whether their primary treatment should be microsurgery or IVF, the authors have performed a comprehensive world-wide literature review. Based on what has been published to date, it would appear that patients with mild to moderate tubal disease should be offered salpingoneostomy as their first treatment modality. For patients with severe disease accompanied by extensive pelvic adhesions, salpingoneostomy should be discouraged.
体外受精（IVF）的成功使其成为治疗与远端输卵管阻塞（DTO）相关不孕症的一种可行替代方法。为了就原发性治疗应采用显微手术还是体外受精向患有DTO的患者提供充分的咨询，作者进行了全面的全球文献综述。根据迄今为止已发表的内容，似乎轻度至中度输卵管疾病患者应首先接受输卵管造口术作为治疗方式。对于伴有广泛盆腔粘连的严重疾病患者，应不鼓励进行输卵管造口术。
