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显微外科技术在输卵管手术中的价值(作者译)

[The value of microsurgical techniques in tubal surgery (author's transl)].

作者信息

Schlösser H W, Frantzen C, Beck L

出版信息

Geburtshilfe Frauenheilkd. 1979 Jul;39(7):545-52.

PMID:467945
Abstract

Tubal surgery by help of microsurgical techniques was performed in 86 women from January 1976 until December 1978. 70 patients suffered from tubal sterility due to pelvic inflammatory disease. 16 women asked for reversal of sterilization. As result of 83 operations 17 life births respectively undisturbed intrauterine pregnancies were achieved. Two patients had an abortion. Three more pregnancies could not be added to the success rate, because in these women we found only one blocked tube intraoperatively, while the contralateral one seemed to be intact. Up to now we haven't had an ectopic pregnancy. In 39 patients the operation was done within the last half year. The value of microsurgery in the field of tubal reconstructive surgery is discussed in regard to the literature and to our own experiences and operative results.

摘要

1976年1月至1978年12月期间,对86名女性进行了借助显微外科技术的输卵管手术。70例患者因盆腔炎导致输卵管性不孕。16名女性要求输卵管复通。83例手术中有17例成功分娩或实现了宫内妊娠正常。2例患者发生流产。另外3例妊娠未计入成功率,因为术中发现这些女性只有一侧输卵管堵塞,而对侧输卵管似乎完好。到目前为止,我们尚未出现异位妊娠。39例患者在过去半年内接受了手术。结合文献以及我们自己的经验和手术结果,讨论了显微外科手术在输卵管重建手术领域的价值。

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