Mecke H, Semm K, Lehmann-Willenbrock E, Stojanov M, Freys I
Geburtshilflich-Gynäkologische Abteilung Auguste-Viktoria-Krankenhaus Berlin.
Zentralbl Gynakol. 1995;117(8):413-6.
From 1987 to 1990 pelvioscopic distal salpingostomy was performed in 47 patients at the University Hospital of Kiel. The tubal mucosa was everted and fixed with 4/0 PDS sutures. 35 patients (74%) responded to a questionnaire 2-4 years after surgery. A bilateral salpingostomy had been performed in 16 of these 35 cases, while the contralateral tube was either absent or intramurally occluded in 19 cases. Eight patients (23%) postoperatively had an intrauterine pregnancy, five patients gave birth to a healthy child, one patient was pregnant at time of follow-up. Three patients had abortions and three experienced a tubal pregnancy of one or both sides. Compared to the endoscopic procedure with the CO2 laser pelvioscopic salpingostomy with an everted suture represents an equally suited alternative.
1987年至1990年期间，基尔大学医院对47例患者实施了盆腔镜下远端输卵管造口术。将输卵管黏膜外翻，用4/0聚对二氧环己酮缝线固定。35例患者（74%）在术后2至4年回复了一份调查问卷。这35例患者中，16例实施了双侧输卵管造口术，19例对侧输卵管缺失或壁内闭塞。8例患者（23%）术后发生宫内妊娠，5例患者产下健康婴儿，1例患者在随访时怀孕。3例患者发生流产，3例患者一侧或双侧发生输卵管妊娠。与二氧化碳激光内镜手术相比，外翻缝合的盆腔镜下输卵管造口术是一种同样合适的替代方法。
