Fayez J A
Microsurgery. 1987;8(2):78-82. doi: 10.1002/micr.1920080210.
Forty-four patients with partial or complete cornual occlusion of their tubes had undergone microsurgical repair in the form of either tubouterine implantation or tubouterine anastomosis. Eighteen of these patients had undergone the implantation procedure and 26 the anastomosis procedure. None of the patients in the implantation group had previous tubal sterilization, while in the anastomosis group 16 had tubal cauterization and 10 had other causes blocking the cornual end of their tubes. The patency rate in the implantation group was 70% and the pregnancy rate was 39%, while in the anastomosis group the rates were 94% and 69%, respectively. It is concluded that, when feasible, tubouterine anastomosis should be the procedure of choice for the repair of the cornual occlusion of the tube irrespective of the cause of obstruction.
44例输卵管部分或完全间质部阻塞患者接受了显微外科修复手术，手术方式为输卵管子宫植入术或输卵管子宫吻合术。其中18例患者接受了植入手术，26例接受了吻合手术。植入组患者均未进行过输卵管绝育术，而吻合组中16例曾行输卵管烧灼术，10例因其他原因导致输卵管间质部阻塞。植入组的通畅率为70%，妊娠率为39%，而吻合组的通畅率和妊娠率分别为94%和69%。得出的结论是，在可行的情况下，无论阻塞原因如何，输卵管子宫吻合术都应是修复输卵管间质部阻塞的首选手术方式。
