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应用显微外科技术吻合结扎的输卵管80例,近期全部通畅。其中34例随访一年以上,总妊娠率为85.3％,其中宫内孕、足月分娩、自然流产及异位妊娠率分别为82.4％、64.7％、11.8％及2.9％。于峡-峡部吻合的宫内妊娠率为93.3％,而其他部位吻合为73.7％;输卵管组织正常者宫内孕率为100％,而有炎症者为75.0％。本文还讨论了输卵管复通术的成功标准,手术技巧及影响复孕的因素等。
Application of microsurgical techniques consistent with ligation of the fallopian tube in 80 cases, all recently unobstructed. Among them, 34 cases were followed up for more than one year, with a total pregnancy rate of 85.3%. The rates of intrauterine pregnancy, full term delivery, spontaneous abortion and ectopic pregnancy were 82.4%, 64.7%, 11.8% and 2.9% respectively. The rate of intrauterine pregnancy in the isthmus - isthmus was 93.3%, while that in other sites was 73.7%. The intrauterine pregnancy rate was 100% in normal tubal tissues and 75.0% in those with inflammation. This article also discusses the success criteria for tubal recanalization, surgical techniques and the factors that affect the pregnancy.