显微外科在药物粘堵后输卵管重建术中的应用  

Microsurgical Technique of Uterc-Tubal Anastcmosis after Chemically Induced Tubal Occlusion

作　　者：王育华[1] 孙雪梅[1] 汪虹[1] 许如秀[1] 王惠敏[1] 刘俊兰[1] 苏应宽[1] 

机构地区：[1]山东省立医院,山东医科大学

出　　处：《生殖与避孕》1994年第2期144-147,共4页Reproduction and Contraception

摘　　要：我院自１９９０年１月至１９９２年３月为１２名复方苯酚粘堵绝育术妇女做了复通术。经宫底近子宫角部卧式“Ｙ”字形切开宫壁，游离并切除阻塞的间质部输卵管，在显微镜下将通畅段输卵管近侧端与子宫角内口吻合。术后１１例宫内妊娠，１０例已足月分娩，１倒流产，１例尚未妊娠。１２例间质部输卵管经光镜检查管腔纤维化阻塞，失去可逆性；６例与阻塞段相连的通畅段输卵管经扫描电镜观察大致正常，说明在一定条件下复方苯酚粘堵术是一种可复性的女性绝育方法。Mierosurgical revorsal of tubal occlusion by phenol compounds in twelve cases wereperformed from January 1990 to March 1992. A reverse Y-shaped incision was made at the uterine fundus. The end of the proximal of the patent tube was then anastomosed with the os eornua internus after excising the obstructed uterine end of Fallopian tube. On follow-up to the end of October, 1993, 11 women were pregnant intrauterinely. The repregnant rate is 91. 67%. Ten women had term deliveries. Fibrosis of intramural tubal lumen was found microscopically in 12 cases. The patent portion of tube next to the occlusion in 6 cases revealed almost normal structure by SEM. One aborted and one failed to be pregnant. The results indicate that chemically induced tubal occlusion is a reversible method of tubal sterilization.

关 键 词：输卵管复通 药物绝育 显微外科 

分 类 号：R979.21[医药卫生—药品]