Choe J K, Dawood M Y, Bardawil W A, Andrews A H
Fertil Steril. 1984 May;41(5):754-60.
Conventional microsurgical reanastomosis was compared with laser microsurgical reanastomosis of previously ligated uterine tubes in 14 rabbits. A final laparotomy was performed to determine adhesion formation and uterine tube patency, and a histologic examination was done of the anastomosis sites using four histologic indices for grading. Laser microsurgery produced significantly less adhesions (mean +/- standard error of the mean adhesion score, 0.79 +/- 0.24) than conventional microsurgery (2.29 +/- 0.13, P less than 0.001). However, there was no significant difference in all four histologic indices of tissue reunion at the anastomosis site between the two types of surgical technique. In a separate experiment, CO2 laser was found to be unable to weld uterine tubes successfully. Thus, the CO2 laser can significantly reduce postoperative adhesions in microsurgical uterine tube reanastomosis but without any significant histologic difference in tissue reunion, compared with conventional microsurgery.
在14只兔子身上，对传统显微外科输卵管再吻合术与激光显微外科输卵管再吻合术进行了比较，此前这些兔子的输卵管已被结扎。进行了最后一次剖腹手术以确定粘连形成情况和输卵管通畅情况，并使用四个组织学指标对吻合部位进行组织学检查以分级。与传统显微外科手术（2.29±0.13，P＜0.001）相比，激光显微外科手术产生的粘连明显更少（平均粘连评分±平均标准误差，0.79±0.24）。然而，两种手术技术在吻合部位组织愈合的所有四个组织学指标上没有显著差异。在一项单独的实验中，发现二氧化碳激光无法成功焊接输卵管。因此，与传统显微外科手术相比，二氧化碳激光可显著减少显微外科输卵管再吻合术后的粘连，但在组织愈合方面没有任何显著的组织学差异。
