Dubuisson J B, Aubriot F X, Garnier P, Barbot J, Vacher-Lavenu M C, Thalabard J C, Henrion R
J Gynecol Obstet Biol Reprod (Paris). 1984;13(8):925-32.
We have analysed 54 cases where the patients had two lesions in the tubes and were treated with microsurgery. The results of histological examinations show that chronic salpingitis in the major lesion. Infection was the aetiological cause in 76% of the cases. The results of microsurgical treatment are poor with a low rate of intra-uterine pregnancy: [19.4% (0.08-0.42) at 24-30 months for pregnancies that were continuing and for abortions, 11.7% (0.04-0.33) at 24-30 months using actuarial techniques for estimating pregnancies that were continuing]. There was a high risk of extra-uterine pregnancy [35% (0.18-0.58) at 24-30 months]. These results make us wonder whether microsurgery or in vitro fertilisation should be the treatment of preference in these cases where the tubes are affected in two areas.
我们分析了54例输卵管有两处病灶并接受显微手术治疗的病例。组织学检查结果显示，主要病灶为慢性输卵管炎。76%的病例病因是感染。显微手术治疗效果不佳，宫内妊娠率较低：[持续妊娠和流产者在24至30个月时为19.4%（0.08 - 0.42），采用精算技术估计持续妊娠者在24至30个月时为11.7%（0.04 - 0.33）]。宫外孕风险较高[24至30个月时为35%（0.18 - 0.58）]。这些结果让我们思考，在输卵管两个部位均受累的这些病例中，显微手术或体外受精是否应作为首选治疗方法。
