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我院于1985年6月至1995年6月共实施显微外科输卵管复通术56例,其中随访3～5年者45例,为探讨其临床效果及有关问题,现将结果及体会报告如下。 1 临床资料 1.1 术前情况 本组均为经腹绝育术后者,其中抽心包埋法36例,卷折结扎法7例,伞端切除术2例,年龄最小26岁,最大41岁,平均36.4岁,复通术距绝育时间9月～8年,平均48.6个月。 1.2 复通术式 2例伞端切除者行双侧输卵管伞端造口术,2例因一侧输卵管间质部压挫破坏失去吻合条件仅行另一侧输卵管吻合,41例行双侧输卵管端端吻合,共吻合输卵管84条,其中输卵管峡部—峡部吻合36条,输卵管峡部—壶腹部吻合22条,输卵管壶腹部(?)腹部吻合26条。吻合后输卵管最短3.5cm,最
Our hospital from June 1985 to June 1995 were implemented microsurgical tubal recurrence in 56 cases, of which 45 were followed up for 3 to 5 years, in order to explore the clinical effects and related issues, the results and experience report is as follows . 1 Clinical data 1.1 Preoperative conditions This group are abdominal sterilization, the latter 36 cases of heart embolization, roll ligation in 7 cases, 2 cases of umbrella end resection, the youngest 26 years old, maximum 41 years old, An average of 36.4 years old, Fu Tong from sterilization time from September to 8 years, an average of 48.6 months. 1.2 2 cases of recanalization Umbrella resection of bilateral tubal umbrella endostomy, 2 cases of lateral tubal interstitial frustration caused by loss of anastomosis only the other side of tubal anastomosis, 41 cases of bilateral fallopian tubes A total of 84 endovascular anastomosis, a total of 84 tubal tubal, tubal isthmus - isthmus anastomosis 36, tubal isthmus - ampulla anastomosis 22, tubal ampulla (26 abdominal anastomosis. Anastomosis tubal shortest 3.5cm, most