电视腹腔镜下输卵管吻合手术治疗输卵管部分梗阻性不孕(附7例报道并文献复习)

Laparoscopic tubal anastomosis to treat infertility of partial fallopian tubal occlusion(7 cases report and review of the literature)

目的探讨腹腔镜下进行输卵管部分炎症性梗阻吻合的具体方法。方法利用电视腹腔镜5mm器械、三切口的微创腹腔镜方法,对3例输卵管妊娠手术后患侧阻塞患者以及4例继发性不孕患者经子宫输卵管碘油造影显示伴有一侧或双侧输卵管病变患者行双层6/0尼龙线内缝吻合输卵管,其手术平均时间为63.6min。结果7例患者手术后通水均示通畅,5例患侧进行修复的输卵管经输卵管子宫碘油造影术显示均通畅,并且获得宫内妊娠3例,足月分娩1例。结论电视腹腔镜下采用显微吻合手术对输卵管局部炎症梗阻进行治疗,有助获得妊娠。

【Objective】To investigate the technique of laparoscopic tubal anastomosis on partial tubal inflamma- tory blockage. 【Methods】With laparoscope, 5 mm instrument and three port, 3 cases with tubal middle blockage after tubal pregnancy repaired and 4 cases of secondary infertility indicating one or both tubal partial occlusion by hystersalpingogram were repared by 6/0 nylon thread with double layer suturing. The average surgery time was 63.6 min. 【Results】7 cases indicated tubal patency by hydro and chromopertu...