Lopez-Ortiz C S, Velázquez-Cornejo G, Ablanedo-Aguirre J, Hinojosa-Cruz J C, Téllez-Velasco S, Canales-Perez E S, Mondragón-Alcocer H L
Department de Reproducción Asistida, Instituto Nacional de Perinatología, México, D.F.
Ginecol Obstet Mex. 1996 Jun;64:256-60.
In the last years, the adherence adnexal disease has been increased due to pelvic infections. This may cause infertility problems depending, of the nature, extension and localization inside the pelvis. In this paper we inform the results obtained in 70 patients with adnexal adhesions to whom it was performed a salpingo-ovariolysis with microsurgery technology, with the purpose of promote the fertility. All the patients received pre, trans and postoperative support (Heparin, steroids and antimicrobials). The minimal time of postoperative observation was at least 6 months. In 27 (Group I) of the 70 cases (38.6%), the adherences were avascular (IA & IIA based on Hulka's classification); and in the 43 patients of the group II (61.4%), the lesions were dense and vascular (IB & IIB). In group I, 15 pregnancies were obtained (55.6%), 13 at term, 1 miscarriage and 1 ectopic pregnancy; in the group II we documented 9 pregnancies (20.9%), 5 at term, 4 miscarriage (I trimester).
在过去几年中，由于盆腔感染，附件粘连疾病的发生率有所增加。这可能会根据盆腔内病变的性质、范围和位置导致不孕问题。在本文中，我们报告了对70例附件粘连患者采用显微外科技术进行输卵管卵巢粘连松解术以促进生育的结果。所有患者在术前、术中及术后均接受了支持治疗（肝素、类固醇和抗菌药物）。术后观察的最短时间至少为6个月。在70例病例中的27例（第一组，38.6%），粘连为无血管性（根据赫尔卡分类为IA和IIA）；在第二组的43例患者中（61.4%），病变为致密且有血管性（IB和IIB）。在第一组中，有15例妊娠（55.6%），其中13例足月产，1例流产，1例宫外孕；在第二组中，我们记录到9例妊娠（20.9%），其中5例足月产，4例流产（孕早期）。
