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输卵管切开术缝合与否的比较研究。在兔输卵管上进行的实验性显微外科研究(作者译)

[A comparative study of salpingotomies with or without suture. An experimental microsurgical research carried out on rabbits' tubes (author's transl)].

作者信息

Gordji M, Henry-Suchet J, Pigeaud F, Tesquier L, Debache C, Achard B, Chahine N, Loffredo V

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1981;10(8):765-70.

PMID:7338598
Abstract

Two techniques of salpingotomy have been compared in two series of rabbit experiments with the aim of finding out whether, when carrying out conservative surgery in extra-uterine pregnancy with rupture of the tube, it is better to suture the salpingotomy or to leave it open without suture. The two series show that there is no difference as far as the frequency of large adhesions, as far as ovulation and the strength of the scar and the pregnancy rate g out conservative surgery in extra-uterine pregnancy with rupture of the tube, it is better to suture the salpingotomy or to leave it open without suture. The two series show that there is no difference as far as the frequency of large adhesions, as far as ovulation and the strength of the scar and the pregnancy rate g out conservative surgery in extra-uterine pregnancy with rupture of the tube, it is better to suture the salpingotomy or to leave it open without suture. The two series show that there is no difference as far as the frequency of large adhesions, as far as ovulation and the strength of the scar and the pregnancy rate following the two methods. On the other hand, implantation is less good when the tube is left open than when the salpingotomy is sewn up. In the first series there was a significant difference between the side that was operated on and the control side, whereas the second series there was very little difference. In spite of the fact that the scar seemed to be apparently of the same type, the eggs were able to descend more easily in the oviduct when it had been sutured.

摘要

在两组兔子实验中比较了两种输卵管切开术技术,目的是弄清楚在输卵管破裂的宫外孕进行保守手术时,缝合输卵管切开术创口还是不缝合任其开放更好。这两组实验表明,就大粘连的频率、排卵情况、瘢痕强度以及两种方法后的妊娠率而言,没有差异。另一方面,输卵管开放时的着床情况不如输卵管切开术创口缝合时好。在第一组中,手术侧与对照侧之间存在显著差异,而在第二组中差异很小。尽管瘢痕看起来明显是同一类型,但输卵管缝合后卵子在输卵管中能更轻松地下降。

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