Starczewski A, Rózewicki S, Torbe B
Kliniki Ginekologii IPG PAM w Szczecinie.
Ginekol Pol. 1995 Aug;66(8):469-72.
The aim of the paper was to evaluate the results of microsurgical resections of periadnexal adhesions and those within the pelvis, with taking into consideration the index of intraperitoneal adhesions, coexisting endometriosis and possible adhesions within the fimbriae of oviducts with their patency being preserved. Among 40 women operated on, intrauterine pregnancy terminating in delivery occurred in 42.5% of cases, miscarriage in 7.5%, and oviductal pregnancy in 5% of cases. The highest percentage of pregnancies was obtained with the index of adhesion up to 30 points. Above that value the number of obtained pregnancies decreased dramatically. In the group of patients with coexisting endometriosis the percentage of pregnancies was 13.3%, while 33.3% were scored in the group of women, in whom resection of adhesions within fimbriae was carried out. Active endometriosis and changes within fimbriae of oviducts exert unfavourable influence effects of surgical procedure.
本文旨在评估显微手术切除附件周围粘连和盆腔内粘连的结果，同时考虑腹腔粘连指数、并存的子宫内膜异位症以及输卵管伞端可能存在的粘连及其通畅性的保留情况。在接受手术的40名女性中，42.5%的病例发生了足月分娩的宫内妊娠，7.5%的病例发生了流产，5%的病例发生了输卵管妊娠。粘连指数高达30分时，妊娠率最高。高于该值时，妊娠数显著下降。在并存子宫内膜异位症的患者组中，妊娠率为13.3%，而在进行输卵管伞端粘连切除术的女性组中，妊娠率为33.3%。活跃的子宫内膜异位症和输卵管伞端的病变对手术效果产生不利影响。
