Starczewski A, Rózewicki S, Torbé B
Kliniki Ginekologii Instytutu Połoznictwa i Ginekologii Pomorskiej Akademii Medycznej w Szczecinie.
Ginekol Pol. 1996 Apr;67(4):181-5.
The aim of the paper was to estimate the results of microsurgical reconstruction involving the abdominal opening of the oviducts in 89 infertile women in relation to anatomical status of uterine adnexa. Following procedure, patency of abdominal openings of the oviducts documented by hysterosalpingography and/or by laparoscopic in 73.33% of the treated females. However if simultaneous supplementary (14 women) surgical connecting of impatent oviducts in isthmo-intramural segment was performed the patency restored 57.14%. Pregnancies resulting in delivery of viable infants were achieved in 30.37% and 7.14% in the studied groups respectively. The post operative effect correlated inversely with the intensity of periadnexal adhesions and the diameter of hydrosalpinx ampulla of oviducts.
本文旨在评估89例不孕女性输卵管腹部开口显微外科重建手术的结果，并探讨其与子宫附件解剖状态的关系。术后，子宫输卵管造影术和/或腹腔镜检查显示73.33%的受治女性输卵管腹部开口通畅。然而，如果同时对14例输卵管峡部-壁内段不通的患者进行补充手术连接，通畅率恢复至57.14%。研究组分别有30.37%和7.14%的患者成功妊娠并分娩活婴。术后效果与附件周围粘连的严重程度及输卵管积水壶腹部的直径呈负相关。
