显微外科输卵管复通术146例分析

EVALUATION OF MICROSURGICAL SALPINGOS-TOMY -REPORT OF 146CASES

自１９８８年３月～１９９４年２月，应用显微外科手术进行输卵管复通术１４６例，术后随访半年以上，输卵管通畅率９９．３％；宫内妊娠率９２．５％；流产８例，占５．５％。复通术的成功与输卵管病变、通复术吻合部位、输卵管保留长度等因素有关。术后早期输卵管通液和预防感染，可提高输卵管通畅率及妊娠率。

AbstractThe effect using microsurgical technique to anas-tomose the fallopian tubes for femal sterilization wasevaluated in present study,The l46 patients were fol-lowed-up 6～12 months.The results showed that therepatency rate of the oviduct was 99.3%, the in-trauterine pregnaney rate was 92.5%,Eight cases hadabortion (5.5%),Author suggested that the factorswhich influence successful rate were related to the siteof anastomosis,the length of reserving tubal and thepathological change of the tubes after surgical steriliza-tion. Postoperation fallopian tubes instillation shouldbe performed early in order to prevent infection andadhesion,and to raisen the repatency rate.