Smiljanić N, Ciglar S
Jugosl Ginekol Opstet. 1984 Jan-Apr;24(1-2):18-20.
Terminal salpingostomy and fimbrioplastics were performed in 108 patients by conventional surgical technique: 78 had bilateral occlusion of the abdominal orifice of the uterine tube with hydrosalpinx, 21 unilateral distal occlusion coupled with stenosis and perisalpingitis on the other side, and 9 bilateral stenosis and perisalpingitis. In all patients other causes of sterility were excluded. The duration of their sterility lasted 2-15 years, while their age ranged from 21 to 40 years. In 96 out 108 patients laparoscopy was applied immediately before operation. Out of 108 surgically treated patients, 22 conceived and gave birth to a child (20%), 2 had abortion (0.92%), and 7 conceived outside the uterus (3.7%). In 72 patients who did not conceive six months after operation, control hysterosalpingography was applied; it showed that 58 patients had one or both tubes unobstructed (80.5%), while bilateral reocclusion was found in 14 patients (19.4%). Hydrotubation was performed by a mixture of antibiotics and hydrocortisone 3-5 days following operation.
采用传统手术技术对108例患者进行了输卵管末端造口术和输卵管伞成形术：78例双侧输卵管腹腔口闭塞并伴有输卵管积水，21例单侧远端闭塞并伴有另一侧狭窄和输卵管周围炎，9例双侧狭窄和输卵管周围炎。所有患者均排除了其他不育原因。她们的不育时间为2至15年，年龄在21岁至40岁之间。108例患者中有96例在手术前立即进行了腹腔镜检查。在108例接受手术治疗的患者中，22例受孕并分娩（20%），2例流产（0.92%），7例子宫外受孕（3.7%）。对术后6个月未受孕的72例患者进行了子宫输卵管造影复查；结果显示，58例患者一侧或双侧输卵管通畅（80.5%），14例患者双侧再次闭塞（19.4%）。术后3至5天用抗生素和氢化可的松混合液进行输卵管通液。
