Dubuisson J B, Aubriot F X, Barbot J, Henrion R
J Gynecol Obstet Biol Reprod (Paris). 1985;14(5):641-5.
135 patients were operated on using a microsurgical technique for distal plastic repairs between April 1978 and April 1983. Recurrences and cases with two lesions were excluded. The patients were classified in the group which corresponded to the tube that was less affected when the lesions were not symmetrical according to the I.F.F.S. classification. Out of 59 operations for fimbrioplasty, 31 had an on-going pregnancy, which is 52.5%, and 8 had an extra-uterine pregnancy, which is 13.5%. Of 76 cases that had neosalpingostomies, 28 had an on-going pregnancy, which was 36.8%, and 17 an extra-uterine pregnancy, which was 22.3%. When we looked at the results as a function of the initial lesion (the 9 cases of mixed lesions being excluded), 39 out of 83 cases of phimosis had an on-going pregnancy (47%) and 15 an extra-uterine pregnancy (18%). Out of 43 cases of hydrosalpinx 17 had an on-going pregnancy (39.5%) and 5 an extra-uterine pregnancy (41.6%). The levels of success obtained after operation on distal tubal lesions according to the criteria of definite selection are relatively satisfactory if one compares the present results with those obtained for in vitro fertilisation. It is therefore still correct to operate on these lesions. All the same, distal reparative surgery does give rise to a high risk of extrauterine pregnancy, which is nearly 20%. In our series the basically more significant rate at p less than 0.05 was shown after making neosalpingostomy in cases of phimosis. The consequences of this complication can now be limited by the progress that has been made in laparoscopic surgery.
1978年4月至1983年4月期间，135例患者采用显微外科技术进行远端整形修复手术。复发病例和有两处病变的病例被排除。根据国际输卵管整形外科学会（I.F.F.S.）分类，当病变不对称时，患者被归类到受影响较小的输卵管组。在59例输卵管伞端成形术中，31例成功妊娠，成功率为52.5%，8例发生宫外孕，占比13.5%。在76例新造口术中，28例成功妊娠，占36.8%，17例发生宫外孕，占22.3%。当我们根据初始病变分析结果时（排除9例混合病变病例），83例输卵管狭窄病例中有39例成功妊娠（47%），15例发生宫外孕（18%）。43例输卵管积水病例中，17例成功妊娠（39.5%），5例发生宫外孕（41.6%）。根据明确的选择标准，与体外受精的结果相比，远端输卵管病变手术后获得的成功率相对令人满意。因此，对这些病变进行手术仍然是正确的。尽管如此，远端修复手术确实会导致宫外孕的高风险，接近20%。在我们的系列研究中，输卵管狭窄病例行新造口术后，p值小于0.05时，差异具有统计学意义。现在，腹腔镜手术的进展可以限制这种并发症的后果。
