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我科于1986～1990年,对121例结扎后妇女进行了输卵管吻合术,其再通后生育率达77.89％,现将临床资料分析如下。资料和方法一、病例选择要求复通者,均为输卵管结扎后,子女天折、病残或少数再婚者,年龄为23～38岁,受术者妇检正常,其配偶生育功能正常,输卵管再通术在月经干净3～7天内进行。二、手术方法手术在硬膜外麻醉下进行,常规开腹后夹出输卵管置腹壁外,确定结扎部位,暴露输卵管两端断面,将硬膜外导管作为支架,自伞端穿入贯穿两段、用710无损伤尼龙线或5/0的细丝线依次缝合12、9、3、6点输卵管粘膜下层及肌层,然后缝合浆膜层及系膜,随即将支架拔除,术中的平衡液
Our department from 1986 to 1990, 121 cases of ligation of women after tubal anastomosis, the fertility after recanalization of 77.89%, the clinical data are analyzed as follows. Materials and Methods First, the choice of cases recanalization, are tubal ligation, the child day off, sick or a small number of remarried, aged 23 to 38 years old, by the operation of women normal, normal fertility spouses, fallopian tubes Recanalization in the menstrual clean 3 ~ 7 days. Second, the surgical method Surgery under epidural anesthesia, conventional open the abdominal tubal clip out the folder, determine the site of ligation, exposing both ends of the fallopian tube section, the epidural catheter as a stent, from the end of the umbrella piercing through the two , With 710 nylon line without damage or 5/0 fine thread suture 12,9,3,6 oval tubal submucosa and muscle layer, and then serous layer and mesangial, then the stent is removed, intraoperative balance solution