| 腹腔镜下输卵管单点吻合31例临床分析 |
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| 引用本文： | 孙明霞,王延国. 腹腔镜下输卵管单点吻合31例临床分析[J]. 中国微创外科杂志, 2008, 8(5): 441-442 |
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| 作者姓名： | 孙明霞 王延国 |
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| 作者单位： | 1. 北京朝阳医院京西院区妇产科,北京,100043
2. 山东省淄博市齐都医院妇产科,山东,255400 |
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| 摘 要： | 目的探讨腹腔镜下输卵管单点吻合术的效果。方法对输卵管结扎术后17例及输卵管阻塞宫、腹腔镜疏通失败14例共31例58条输卵管采用3mm腹腔镜手术器械行腹腔镜下单点吻合,端端口径不齐、相差过大的输卵管借助输尿管导管或宫腔镜插入导丝支架进行吻合。结果单点吻合31例58条输卵管均一次性吻合成功。术后3个月经周期后造影示2例双侧输卵管不通,5例单侧输卵管不通,术后输卵管通畅率为84.5%(49/58)。26例随访6~36个月,宫内妊娠17例,妊娠率65.4%(17/26),2例输卵管妊娠,7例未孕。结论腹腔镜下输卵管单点吻合具有创伤小、恢复快、腹腔干扰少等优点,手术方法可行。
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| 关 键 词： | 腹腔镜输卵管单点吻合 输尿管导管 宫腔镜介入导丝 3mm腹腔镜手术器械 |
| 文章编号： | 1009-6604(2008)05-0441-02 |
| 修稿时间： | 2008-01-07 |
Laparoscopic Single-point Anastomosis of the Fallopian Tube: Report of 31 Cases |
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| Sun Mingxia,Wang Yanguo. Laparoscopic Single-point Anastomosis of the Fallopian Tube: Report of 31 Cases[J]. Chinese Journal of Minimally Invasive Surgery, 2008, 8(5): 441-442 |
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| Authors: | Sun Mingxia Wang Yanguo |
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| Affiliation: | Sun Mingxia; Wang Yanguo.Department of Obstetrics and Gynecology; Beijing Chaoyang Hospital Jingxi Campus; Beijing 100043; China; |
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| Abstract: | Objective To evaluate the outcomes of single-point anastomosis of the fallopian tube under a laparoscope.Methods Totally,31 patients(58 fallopian tubes)were treated with laparoscopic single-point anastomosis using 3-mm laparoscopic instruments after ligation(17 cases)or failed hysteroscopic recanalization(14)of the fallopian tubes.Ureteral catheter or transcervical guidewire or stents were used if the sizes of the tubes were irregular.Results The 58 fallopian tubes were anastomosed successfully by a single ... |
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| Keywords: | Laparoscopic single-point anastomosis of the fallopian tube Urethral catheter Transcervical guidewire 3-mm laparoscopic instruments |
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