显微外科技术复通输卵管24例临床分析

目的应用显微外科吻合技术复通输卵管并观察其临床疗效。方法我院自1998年2月至2005年4月期间,在应用显微镜放大20～30倍下对24例符合计划生育政策的健康妇女施行输卵管吻合术,术中用8/0无创伤缝合针线分肌层和浆膜层两层对输卵管进行端端吻合,缝合输卵管肌层时可穿透输卵管粘膜,术后均不留输卵管支架。结果术后随访2年,其中18例宫内妊娠;16例妊娠至足月分娩;2例因病流产;2例术后发生宫外孕;4例因输卵管过短(<4cm)而未能复孕。结论应用外科显微吻合技术复通输卵管不但损伤少、组织层次清明、粘膜对合好、精确度高,而且可以避免输卵管扭曲,大大地提高了手术后输卵管复通率与术后妊娠率,最低限度地减少术后并发症的发生率。

Objeticve To make of use micro Surgery coincile techuique to through fallopian tube again and observe its clinicalcurative effect. Methods Our hospital from Junary ,1998 to April,2005,performed the fallopian tube coincide techniqueon 24 healthy women who accord with Plannel Birth Policy under medical microscope, which enlarge 20 to 30 times.During the operation,we used 8/0 no wound sew up needle work to dicide muscle stratum and starch two stratumsto align coincide fllopian tube, when sew up fallopian tube muscle stratum it can penetrate fallopian tube glue film andwill not leave fallopian tube stand after the operation. Results Following the tracks of the operation for two years,including 18 cases intrauterine pregnancy; 16 cases had full months, pregnancy and childbearing; 2 cases miscarriagedbecause of disease; 2 cases had extrauterine preghancy after the operation; 4 cases because of the fallopian tube was tooshort (<4cm) couldn,t conceive. Conclusions to utilize surgery micro coincide technique to through fallopian tube againnot only damage little,tissue order clear and bright, the opposite glue film combine well,preciseness,but also can avoidfallopian tube turn or bent,greatly improve to through fallopian tube again and pregnancy after the operation, largestreduce the complication which caused by operation.