Daniell J F, Diamond M P, McLaughlin D S, Martin D C, Feste J, Surrey M W, Friedman S, Vaughn W K
Fertil Steril. 1986 Feb;45(2):175-8. doi: 10.1016/s0015-0282(16)49150-8.
Forty-eight women underwent terminal salpingostomies with a standard operative procedure with the use of the CO2 laser and microsurgical techniques at five centers. Early second-look laparoscopy was performed in all patients 1 to 12 weeks after the laparotomy. The tubal patency rate at the second look was 92% for these 48 patients, with a minimum of 6 months' follow-up study in all patients. Of these patients, ten became pregnant (21%), one with an ectopic pregnancy (10%). All pregnancies occurred within 12 months of the second-look procedure. It is preliminarily concluded from this series that use of the CO2 laser for neosalpingostomy at laparotomy with early second-look laparoscopy provides a term pregnancy rate similar to that previously achieved by nonlaser microsurgical techniques and shortens the time period between the surgical procedure and when conception would be expected to occur.
48名女性在5个中心接受了使用二氧化碳激光和显微外科技术的标准手术程序进行的输卵管造口术。所有患者在剖腹术后1至12周接受了早期二次腹腔镜检查。这48例患者二次检查时的输卵管通畅率为92%，所有患者均进行了至少6个月的随访研究。在这些患者中，10例怀孕（21%），其中1例为异位妊娠（10%）。所有妊娠均发生在二次检查术后12个月内。从该系列研究初步得出结论，剖腹术时使用二氧化碳激光进行输卵管造口术并结合早期二次腹腔镜检查，其足月妊娠率与之前非激光显微外科技术所达到的相似，且缩短了手术与预期受孕之间的时间间隔。
