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我院自1984年5月至1985年12月应用显微技术吻合输卵管12例,效果满意,现报告如下。一、临床资料本组12例既往健康,月经周期及妇科检查正常,年龄在29岁以下。男方生殖功能正常,结扎距吻合时间最长为6年2个月,最短为7个月,平均为3年。二、手术方法采用硬膜外麻醉,取下腹部正中切口,探查子宫及附件,提出输卵管,保护其它脏器不突出腹腔外,以减少术后粘连。然后用手术放大镜、显微器械进行操作。首先分离粘连,清除原结扎处瘢痕,注意尽量保留健康组织,以使吻合后输卵管有较长的长度。修剪两断端,分别注入每百毫升含肝素50单位的肝素化盐水冲洗管腔,证明两端均通畅后,放置尼龙线作
Our hospital from May 1984 to December 1985 microscopic technique consistent with tubal in 12 cases, the results are satisfactory, are as follows. First, clinical data The group of 12 patients with previous health, menstrual cycle and gynecological examination were normal, under the age of 29 years. The man’s reproductive function is normal, the longest ligation time from 6 years and 2 months, the shortest of 7 months, with an average of 3 years. Second, the surgical methods of epidural anesthesia, removal of the median incision in the abdomen, exploration of the uterus and attachment, the proposed tubal, other organs to protect the outstanding intra-abdominal, in order to reduce postoperative adhesions. Then use surgical magnifying glass, micro-instruments to operate. First, separation of adhesions, remove the original ligation scar, pay attention to try to retain healthy tissue, tubal tubal length after anastomosis. Pruning the two ends, were injected per 100 ml of heparinized heparin 50 units rinse the lumen to prove that both ends of the patency, the placement of nylon thread