McComb P
Fertil Steril. 1986 Oct;46(4):571-7. doi: 10.1016/s0015-0282(16)49630-5.
Microsurgical tubocornual anastomosis (TCA) and tubouterine implantation are the two primary operations used to treat proximal tubal occlusion (PTO). Tubouterine implantation usually has been reserved for cases of PTO in which the occlusion spans the entire intramural tubal segment. Yet TCA has proven to be more likely to lead to successful pregnancy than tubouterine implantation. In this series, all PTO was treated by TCA. The article compares the reproducibility of results of TCA by two different operators and establishes the usefulness of TCA in all cases of PTO without resort to tubouterine implantation. Fifteen of 26 women achieved viable intrauterine pregnancies, a rate virtually identical to that published earlier by Gomel. Microsurgical TCA can be used to the exclusion of tubouterine implantation to achieve higher pregnancy rates, despite complete intramural occlusion.
显微外科输卵管子宫角吻合术（TCA）和输卵管子宫植入术是用于治疗近端输卵管阻塞（PTO）的两种主要手术。输卵管子宫植入术通常用于阻塞累及整个输卵管壁内段的PTO病例。然而，事实证明TCA比输卵管子宫植入术更有可能成功妊娠。在本系列研究中，所有PTO均采用TCA治疗。本文比较了两位不同操作者进行TCA手术结果的可重复性，并证实了TCA在所有PTO病例中的有效性，而无需采用输卵管子宫植入术。26名女性中有15名实现了宫内活胎妊娠，这一比例与戈梅尔早期发表的数据几乎相同。尽管存在完全的壁内阻塞，显微外科TCA可用于替代输卵管子宫植入术以实现更高的妊娠率。
