输卵管显微外科的解剖研究

Some Observation on the Ute rine ( Fallopian) Tube

计划生育是全国人民的大事,施行绝育手术是节制生育的可靠方法。但输卵管结扎后能不能再接、再孕,这是目前开展绝育手术中受到重视的问题之一。 过去对输卵管的研究,国内,外资料虽有记载,但对输卵管的分部不统一,各部的长短、口径、管壁的厚度等亦缺乏记载,或记载不完全。如To将输卵管分为峡部和壶腹部二部;Morris分为峡部、壶腹部和漏斗部三部;

1.Fifty-one sides of Chinese cadavers embalmed in 10% formalin were used (left side 28, right side 23, including four specimens from elderly subjects) for this study. Observations and measurements were made on the different portion of the uterine tube, their inner diameter, the thickness of their wall, and the thickness of the posterior wall of the uterus.2.The mean total length of either the right or left uterine tube was 94.80mm, Those Tubes Of 73-103mm were f0und in ab0ut 81%.The average lengths of the four p0rti0ns of the tube were as follows: (l)the uterine intramural p0rtion of the tube, 11.81mm(9-13mm. 78.4%); (2)the isthmus portion, 24.67mm (11-31mm , 92.2%); (3)the ampulla porti0n,42, 44mm ( 22-42mm, 88.2% ) s and(4)the infundibulum, 15.9mm (11.5-19.5mm, 82.2%).3.The inner diameters of the tube were : ( 1 )the uterine portion0.93mm(0.8-1.0mm, 70.6%); (2)the isthmus, 0.31mm(0.2-0.5mm, 86.3%); the ampulla, 1.8mm (1.4-3.0mm, 82.4%).The thickness of the wall of the isthmus and ampulla was 0.67mm and 0.72m m respectively.4.The relationship between the length of the uterine tube and the pregnancy, the site of the ligation of the uterine tube, the reanastomo-sis of the tube, the length and the anatosis division were discussed in this paper.