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由于显微外科在绝育术后的复通术中取得显著疗效,著者将其试用于输卵管炎性不孕症。手术结果尚不理想,有待进一步探讨。一、输卵管炎症后的病理改变表现为:①输卵管及卵巢周围炎。当炎性粘连妨碍伞端正常活动或包裹卵巢影响排卵及卵子的捕捉时,将引起不孕症。而输卵管近侧端的粘连,如不导致管腔阻塞,则对生育无影响。②输卵管远侧端受损。炎症常引起伞端部分甚至完全闭锁。一旦伞端与卵巢粘连,卵子的捕捉即受影响。③输卵管近侧端阻塞。约30%的不孕症患者表现为单侧或双侧峡部及间质部阻塞。其原因除结节性输卵管峡炎,管腔粘连及结核炎性改变外,还包括间质部息肉及肌瘤,子宫内膜异位症及钙化的异位妊娠和粘连等,难于术前做
Due to microsurgery in the sterilization after surgery in the compound effect achieved significant, the author will try it for salpingitis infertility. Surgical results are not yet ideal, pending further study. First, the pathological changes after tubal inflammation showed: ① tubal and ovarian inflammation. When the inflammatory adhesions obstruct the normal activities of the umbrella side or ovulation ovulation and ovulation capture, will cause infertility. The proximal tubal adhesions, if not lead to obstruction of the lumen, it has no effect on reproduction. ② distal tubal damage. Inflammation often causes the umbrella end part to be completely blocked. Once the umbrella end and ovarian adhesions, the egg is affected by the capture. ③ proximal tubal obstruction. About 30% of infertility patients showed unilateral or bilateral isthmic and interstitial obstruction. The reasons in addition to nodular tubal gonorrhea, luminal adhesions and tuberculosis inflammatory changes, including interstitial polyps and fibroids, endometriosis and calcification ectopic pregnancy and adhesions, etc., difficult to do before surgery