有或无二氧化碳激光的输卵管积水重建手术。

Reconstructive surgery of hydrosalpinx with and without the carbon dioxide laser.

作者信息

Tulandi T, Farag R, McInnes R A, Gelfand M M, Wright C V, Vilos G A

出版信息

Fertil Steril. 1984 Dec;42(6):839-42. doi: 10.1016/s0015-0282(16)48253-1.

Abstract

Pregnancy rates and surgery-conception intervals were determined in 91 women operated on for bilateral terminal tubal occlusion with different techniques. The intrauterine pregnancy rate following salpingostomy utilizing the CO2 laser was 21.7% (n = 23) and following salpingostomy with the microdiathermy needle was 22.7% (n = 22) at 1 year's follow-up. The pregnancy rate following conventional surgery was 17.4% (n = 46) at 5 years' follow-up. The surgery-conception interval was shorter in the laser group than in the other two groups. This preliminary report suggests that there is no difference between the pregnancy rate following salpingostomy with CO2 laser or microdiathermy needle; however, the surgery-conception interval is shorter. This might reflect the rapid healing of the tube after laser surgery.

摘要

对91名采用不同技术进行双侧输卵管末端阻塞手术的女性进行了妊娠率和手术至受孕间隔时间的测定。在1年随访时，使用二氧化碳激光进行输卵管造口术后的宫内妊娠率为21.7%（n = 23），使用微透热针进行输卵管造口术后的妊娠率为22.7%（n = 22）。在5年随访时，传统手术后的妊娠率为17.4%（n = 46）。激光组的手术至受孕间隔时间比其他两组短。这份初步报告表明，二氧化碳激光或微透热针进行输卵管造口术后的妊娠率没有差异；然而，手术至受孕间隔时间较短。这可能反映了激光手术后输卵管的快速愈合。