McLaughlin D S, Bonaventura L M, Jarrett J C
Microsurgery. 1987;8(2):83-8. doi: 10.1002/micr.1920080211.
In order to evaluate the effect of the carbon dioxide laser as an adjunct to conventional microsurgical techniques, the authors retrospectively reviewed the charts of 53 patients who underwent tubal reanastomosis after elective sterilization. Thirty-two patients had non-laser microsurgical reanastomosis from 1981 to 1985; 21 patients had microlaser tubal reanastomosis from 1983 to 1985. All patients had unprotected intercourse for at least 1 year. In the non-laser group, 15 were known to have conceived, and in the laser group, eight had conceived; success rates were 43.7% and 42.9%, respectively. It is concluded that the carbon dioxide laser's advantages (precision, hemostasis, and the ability to preserve more normal reproductive tissue), although technically beneficial in performing microsurgical tubal reanastomosis, may not prove to be superior to conventional microsurgical technique as pregnancy rates are compared. Additional long-term studies are needed as more experience is gained to further delineate the role of the carbon dioxide laser for microsurgical tubal reanastomosis.
为评估二氧化碳激光辅助传统显微外科技术的效果，作者回顾性分析了53例择期绝育术后接受输卵管复通术患者的病历。1981年至1985年期间，32例患者接受了非激光显微外科复通术；1983年至1985年期间，21例患者接受了显微激光输卵管复通术。所有患者均有至少1年的无保护性交。在非激光组中，已知15例受孕；在激光组中，8例受孕；成功率分别为43.7%和42.9%。结论是，尽管二氧化碳激光在进行显微外科输卵管复通术时在技术上有益（具有精确性、止血功能以及保留更多正常生殖组织的能力），但在比较妊娠率时，可能并不优于传统显微外科技术。随着经验的积累，需要进行更多长期研究以进一步明确二氧化碳激光在显微外科输卵管复通术中的作用。
