Novy M J
Department of Obstetrics and Gynecology, Oregon Health Sciences University, Portland 97201-3098, USA.
Int J Fertil Menopausal Stud. 1995 Nov-Dec;40(6):292-7.
Although there are tubal causes of infertility for which surgery offers little or no chance of successful treatment, there are at least two situations-sterilization reversal and microsurgical or laparoscopic adhesiolysis in the absence of fimbrial damage and/or male factor-in which subsequent live birth rates are excellent, 60-80% for the former and 45-65% for the latter. An advantage of tubal reconstruction over IVF-ET, which is the only viable alternative in tubal infertility, is avoidance of the risks of the stimulated ovulation protocol and multifetal gestation. Of course, the demands of microsurgery or operative laparoscopy are stringent; and the decision to undertake tubal reconstruction instead of IVF-ET must be coupled with appropriate patient selection.
尽管某些输卵管性不孕病因，手术治疗成功的几率很小或根本没有，但至少有两种情况——输卵管复通术以及在没有伞端损伤和/或男方因素的情况下进行显微手术或腹腔镜粘连松解术——术后活产率很高，前者为60%-80%，后者为45%-65%。与体外受精-胚胎移植（IVF-ET）相比，输卵管重建术具有优势，IVF-ET是输卵管性不孕唯一可行的替代方案，而输卵管重建术可避免促排卵方案和多胎妊娠的风险。当然，显微手术或手术腹腔镜检查的要求很严格；决定进行输卵管重建术而非IVF-ET必须结合适当的患者选择。
