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[输卵管腹膜病变的显微外科治疗。II. 粘连松解的结果:附46例报告]

[Microsurgical treatment of tuboperitoneal lesions. II. Results of the release of adhesions: apropos of 46 cases].

作者信息

Aubriot F X, Dubuisson J B, Barbot J, Henrion R

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1985;14(5):647-51.

PMID:4067221
Abstract

Between April 1978 and April 1983 46 patients were operated on for division of adhesions of a first and second degree according to the Madrid classification. They were operated on by laparotomy. 36 patients, which was 78.3%, had an on-going pregnancy and 3 had an extra-uterine pregnancy, which was 6.5%. We give three reasons to explain these results: antibiotic and anti-inflammatory treatment before the operation. This is important because of the high rate of infection and in particular chlamydia trachomatis. This is on-going in these patients. A technique for division of adhesions that was carried out according to a precise and stereotyped protocol used by all three operators. a follow-up of 43 out of these 46 patients that allowed them to be treated in the months following surgery to deal with other factors contributing to lowered fertility.

摘要

1978年4月至1983年4月期间,根据马德里分类法,对46例一、二度粘连患者进行了粘连松解手术。手术采用剖腹术。36例患者(占78.3%)继续妊娠,3例为宫外孕(占6.5%)。我们给出三个原因来解释这些结果:术前进行抗生素和抗炎治疗。这很重要,因为感染率很高,尤其是沙眼衣原体感染。这些患者中此类感染持续存在。粘连松解技术是由三位手术医生按照精确且固定的方案进行的。对这46例患者中的43例进行了随访,以便在术后数月对他们进行治疗,以处理导致生育能力下降的其他因素。

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