Gomel V
Fertil Steril. 1983 Nov;40(5):607-11.
Lysis of periadnexal adhesions (salpingo-ovariolysis) by laparoscopy was performed on 92 infertile patients who subsequently have been followed for at least 9 months. In each instance, the duration of infertility was longer than 20 months. Periadnexal adhesions were severe in most cases and moderate in the remainder. Moreover, only those cases where ovum pickup by the oviduct with the lesser pathology was deemed impossible or greatly hampered were included in this series. There were no significant postoperative complications. Of the total of 92 patients, 57 (62%) achieved at least one intrauterine pregnancy, 54 (58.7%) had one or more full-term pregnancies, and 5 patients (5.4%) had ectopic pregnancies. With appropriately selected patients and in trained hands, laparoscopic salpingo-ovariolysis is a low-risk procedure associated with a surprisingly good success rate. It can be performed on a day-care basis with considerable savings to the patient in terms of both hospital stay and avoidance of major abdominal surgery.
对92例不孕患者进行了腹腔镜下附件周围粘连松解术（输卵管卵巢粘连松解术），随后对这些患者进行了至少9个月的随访。在每种情况下，不孕时间均超过20个月。大多数病例的附件周围粘连严重，其余为中度。此外，本系列仅纳入了输卵管拾卵被认为不可能或受到极大阻碍的病例，这些病例的病变较轻。术后无明显并发症。92例患者中，57例（62%）至少有一次宫内妊娠，54例（58.7%）有一次或多次足月妊娠，5例（5.4%）有异位妊娠。对于经过适当选择的患者且由经验丰富的医生操作，腹腔镜输卵管卵巢粘连松解术是一种低风险手术，成功率出奇地高。该手术可在日间手术的基础上进行，在住院时间和避免大腹部手术方面为患者节省大量费用。
