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作者应用Gomel倡导的显微外科技术,对疾病引起的近端输卵管梗阻的手术治疗有了很大改善。但是,目前用显微外科行输卵管宫角吻合(TCA)的资料很少,可能与技术难度有关,许多生育外科医师发现TCA相当困难且输卵管内腔直径小。本文有两个目的,一是比较在一个中心两个术者显微外科TCA的再生育结果,二是证明无须采用输卵管子宫移植。 1981年2月至1985年7月对26例近端输卵管闭塞(PTO)妇女行单侧或双侧TCA。术前评价包括生育史,体格检查,精液分析,性交后试验,黄体期血清孕酮测定和用HSG及腹腔镜联合估价输
The authors applied Gomel’s advocacy of microsurgery to improve the surgical treatment of disease-causing proximal tubal obstruction. However, there are few data on the use of microsurgical tubal angle anastomosis (TCA) at present, which may be related to the technical difficulty. Many fertile surgeons find that TCA is rather difficult and the diameter of the oviduct lumen is small. This article has two purposes, one is to compare the results of the microscopic surgical TCA regrowth in two centers at one center, and the second to demonstrate the need for tubal uterine transplantation. From February 1981 to July 1985, 26 patients with proximal tubal occlusion (PTO) underwent unilateral or bilateral TCA. Preoperative evaluation including birth history, physical examination, semen analysis, sexual intercourse test, luteal phase serum progesterone determination and HSG and laparoscopy combined with the valuation of lose