腹腔镜输卵管复通钳用于输卵管移植术方法的探讨

Application of laparoscopic fallopian recanalization forceps in transplantation of fallopian tube

目的探讨腹腔镜下输卵管宫角移植术方法。方法选择输卵管间质部或峡部阻塞或妊娠患者,病灶切除后,应用自制输卵管复通钳行输卵管宫角移植术26例作为研究组,并与传统的输卵管移植术26例作为对照组。结果研究组具有皮肤切口小、手术出血少、术后住院时间短,输卵管复通率高、无并发症的微创效果。结论腹腔镜输卵管复通钳能够用于输卵管宫角移植术,优于传统手术方法及现有腹腔镜手术方法,但术后妊娠率及再次宫外孕发生率有待进一步研究。

[Objective] To evaluate the method of laparoscopic transplantation of fallopian tube at horn of uterus. [ Methods ] In those inpatients of interstitial or isthmic tubal occlusion, as well as interstitial or isthmie preg- nancy, 26 cases underwent laparoscopic transplantation of fallopian tube at horn of uterus by a kind of self-made fallopian recanalization forceps after resection of lesions were used as study group. And 26 cases underwent tradi- tional transplantation of fallopian tube were used as control group. [ Results ] Study group showed more advantages in small incision, little bleeding, short time of hospitalization, and high tubal patency rates. In addition, no compli- cations were seen in study group. [ Conclusion ] It is feasible to apply this kind of self-made laparoscopic fallopian recanalization forceps on transplantation of fallopian tube at horn of uterus. This method seems to be better than tra- ditional surgical procedure or laparoscopic surgery. But further research is needed for the rate of conception and ec- topic pregnancy after this procedure.