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作者9年间共作103例输卵管远端闭塞的重建手术。显微外科技术的应用增加了输卵管的通畅率,但足月活产率增加不多。术前按不孕症常规检查,包括:排卵测定,子宫输卵管碘油造影,性交后试经,丈夫精液、尿液检查及腹腔镜检查。手术按Swolin和Gomel描述的显微外科操作进行。90%的病人使用抗粘连措施;使用抗生素和激素,关腹前腹腔内置入150～200ml的6%右旋糖酐70或75。病人均作输卵管通液术。输卵管病变按改良的Rock等方法分类。轻度:卵管通畅后可见伞端,卵管积水直径<20mm,卵管和卵巢周围粘
The author of a total of 103 cases of tubal distal occlusion reconstruction surgery. The application of microsurgery increased tubal patency rate, but full-term live birth rate increased little. Preoperative according to the routine examination of infertility, including: ovulation determination, uterine tubal lipiodol angiography, after intercourse trial, husband semen, urine examination and laparoscopy. Surgery was performed on the microsurgery described by Swolin and Gomel. Antiblocking measures are used in 90% of patients; antibiotics and hormones are used, and 150-200 ml of 6% dextran 70 or 75 are intraperitoneally administered to the abdomen. Patients were treated with tubal fluid. Fallopian tube disease by modified methods such as Rock classification. Mild: Umbilical plexus can be seen after the umbrella side, hydronephrosis diameter <20mm, oviduct and the surrounding viscous