Stangel J J, Reyniak J V, Stone M L
Obstet Gynecol. 1976 Aug;48(2):241-4.
In an attempt to maintain optimal fertility in the patient treated for midtubal pregnancy, an investigation of conservative surgical procedure was made. The technic developed utilizes tubal excision, reanastomosis, and a single hydrotubation with Dextran. Tubal patency was maintained without the use of stents that may damage the fimbria. The procedure is compared to other conservative technics and its advantages discused. Thus far 2 patients have undergone this excision and reanastomosis, and both patients successfully established intrauterine gestations within 2 months of returning to normal active coital frequency. Both were in the midtrimester of pregnancy at the time of this report.
为了维持接受输卵管中段妊娠治疗的患者的最佳生育能力，对保守性手术方法进行了研究。所开发的技术包括输卵管切除、重新吻合以及用右旋糖酐进行单次输卵管通液。在不使用可能损伤伞端的支架的情况下维持了输卵管通畅。将该手术方法与其他保守技术进行了比较，并讨论了其优点。到目前为止，已有2例患者接受了这种切除和重新吻合手术，并且两名患者在恢复正常的频繁性交后2个月内均成功实现宫内妊娠。在撰写本报告时，两名患者均处于妊娠中期。
