Kitchin J D, Nunley W C, Bateman B G
Am J Obstet Gynecol. 1986 Sep;155(3):524-31. doi: 10.1016/0002-9378(86)90272-3.
During the 9-year period ending April, 1985, 103 women had bilateral and unilateral cuff salpingostomy at the University of Virginia Hospital. Currently accepted principles of microsurgery were used as well as an "antiadhesion" regimen consisting of intravenous dexamethasone and antibiotics, intraperitoneal dextran, and postoperative hydrotubations. The postoperative tubal patency rate was 75.6% in tested patients (91.2% in patients known to have conceived). Forty women (38.8%) conceived and 26 (25.2%) have had one or more term pregnancies. Fourteen women (13.5%) had ectopic pregnancies but three of these have also had term pregnancies. Fourteen women (13.5%) had first-trimester abortions. Two of nine women who had repeat salpingostomies have carried pregnancies to term as have two of 10 women who had ampullary salpingostomies. The extent of tubal disease remains the single most important factor with regard to subsequent successful pregnancy.
在截至1985年4月的9年期间，弗吉尼亚大学医院有103名女性接受了双侧和单侧输卵管造口术。采用了目前公认的显微外科手术原则以及一种“抗粘连”方案，该方案包括静脉注射地塞米松和抗生素、腹腔内注射右旋糖酐以及术后输卵管通液。接受测试的患者术后输卵管通畅率为75.6%（已知受孕的患者中为91.2%）。40名女性（38.8%）受孕，26名女性（25.2%）有过一次或多次足月妊娠。14名女性（13.5%）发生过宫外孕，但其中3名女性也有过足月妊娠。14名女性（13.5%）有过早期流产。9名接受重复输卵管造口术的女性中有2名妊娠至足月，10名接受壶腹部输卵管造口术的女性中有2名也是如此。输卵管疾病的程度仍然是后续成功妊娠的唯一最重要因素。
