DeCherney A H
J Reprod Med. 1984 Mar;29(3):157-61.
Postoperative pelvic adhesions represent a major challenge to the surgeon operating to correct or prevent infertility. Many approaches have been tried, but intraperitoneal treatment seems to be the most efficacious. Some major landmarks led to the development of the intraperitoneal substances currently used to prevent postoperative pelvic adhesions. On comparing the data on both animals and humans we see that high-molecular-weight dextran seems to be superior to other substances. Much work needs to be done to enhance this adjunctive therapy since excellent surgical technique alone seems insufficient. The future emphasis will probably be on these medications in conjunction with precise surgical techniques and adjunctive intraperitoneal therapy.
术后盆腔粘连是外科医生在进行纠正或预防不孕手术时面临的一项重大挑战。人们尝试了多种方法，但腹腔内治疗似乎是最有效的。一些重要的里程碑促成了目前用于预防术后盆腔粘连的腹腔内物质的发展。在比较动物和人类的数据时，我们发现高分子量右旋糖酐似乎优于其他物质。由于仅靠精湛的手术技术似乎并不够，因此需要做大量工作来加强这种辅助治疗。未来可能会重点关注这些药物与精确的手术技术及腹腔内辅助治疗相结合的应用。
