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我院自1985年2月～1986年4月对8例绝育术后妇女应用显微技术进行输卵管吻合术,取得较好疗效,随访复通率83.3％。一.笔者认为手术的成功与否不能单独归于手术方法,而与手术适应症选择、原结扎部位、方法及手术技巧等因素有关,术式以中段袖套或管腔切除为好。显微外科技术的优越性在于用显微镜手术时输卵管管腔清楚,在肠线搭桥时穿管准确无误,不易损伤粘膜,特别是管腔细小的间质部或充血水肿者,以及富含粘膜乳头的壶腹部等。在显微镜下操作,手术精确度高,组织辨认清楚,可以避免损伤血管,
In our hospital from February 1985 to April 1986, 8 cases of post-sterilization women were treated with microsurgical techniques for tubal anastomosis, and achieved good results, follow-up of the pass rate of 83.3%. I. The author believes that the success of surgery can not be attributed solely to surgical methods, but with indications for surgical indications, the original site of ligation, methods and surgical techniques and other factors related to surgical procedures in the middle of cuff or lumen resection as well. The advantage of microsurgery lies in that the tubal cavity is clear when undergone by microscopic operation, the tube is accurately inserted during the gut graft, the mucosa is not easily damaged, especially those with small luminal interstitial or congestion and edema, Ampulla and so on. Under the microscope operation, high accuracy surgery, tissue identification clearly, to avoid damage to blood vessels,