论文部分内容阅读
在输卵管结扎后行复通术时,如果原手术部位处理不当或两侧断端炎症粘连结节形成;在输卵管妊娠破裂行部分切除修复术时,如果妊娠部位过于膨大破裂,局部水肿或纤维素性粘连,均可造成吻合部位较大面积浆膜缺损,以致术后无法用浆膜覆盖输卵管吻合部位,有时即使勉强缝合,也会造成吻合部输卵管腔受压、扭曲甚至阻塞粘连,影响术后受孕率。本文采用推进浆膜瓣修复吻合部位浆膜缺损,使其恢复正常外貌,不影响邻近解剖关系,效果满意,现报道如下。手术方法:在输卵管浆膜缺损前后两侧缘作平行辅助切口,长为缺损区宽度的1～1.5倍,于两浆膜间作钝性分离,使其游离(即输卵管系膜)形成一矩形的
In the tubal ligation after the recurrence of surgery, if the original surgical site improper treatment or both sides of the broken end of the inflammatory adhesions nodules in the tubal rupture of the line partial resection and repair surgery, if the pregnancy site is too swollen and ruptured, local edema or cellulose Adhesions, can cause a large area of the anastomosis site serosa defects, resulting in postoperative can not cover the anastomotic site of the fallopian tube, and sometimes even barely suture, will cause the anastomosis tubal cavity compression, distortion or even block the adhesion, affecting postoperative pregnancy rate. In this paper, the use of serosal flap repair anastomotic site serosal defect, to restore normal appearance, does not affect the adjacent anatomy, the effect is satisfactory, are reported below. Surgical methods: Both sides of the edge of the fallopian tube serosal defect before and after the parallel auxiliary incision length of 1 to 1.5 times the width of the defect area, between the two septa for blunt dissection, so that the free (ie, fallopian tube mesangial) to form a rectangular