Metz K G
Fertil Steril. 1978 Sep;30(3):269-73. doi: 10.1016/s0015-0282(16)43509-0.
In 1977 we reported on seven patients who presented with intrauterine pregnancy in spite of previous fimbriectomy; in a detailed morphologic study one tuboperitoneal fistula was documented in each of four patients. In the present study three more patients are reported with pregnancy following fimbriectomy, and another four tuboperitoneal fistulas are morphologically investigated and their possible etiology is discussed. In spite of a failure rate of almost 2.6%, the concept about the reliability of fimbriectomy need not necessarily be condemned. This concept can be judged only if information is available both about the total number of fistulas subsequent to a certain technique and about the number of those fistulas which contributed to pregnancy.
1977年，我们报告了7例尽管先前已行输卵管伞端切除术但仍发生宫内妊娠的患者；在一项详细的形态学研究中，4例患者中每例均记录到一个输卵管腹膜瘘。在本研究中，又报告了3例输卵管伞端切除术后妊娠的患者，并对另外4个输卵管腹膜瘘进行了形态学研究，并讨论了其可能的病因。尽管失败率近2.6%，但关于输卵管伞端切除术可靠性的观念不一定应被摒弃。只有在掌握了某一技术术后瘘管总数以及导致妊娠的瘘管数量这两方面信息后，才能对这一观念作出评判。
