| 改良输卵管宫角植入术在结扎术后输卵管近段病理性闭塞复通中的应用探讨 |
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| 引用本文： | 张帝开,陈学煌,邝健全,曾韵洁.改良输卵管宫角植入术在结扎术后输卵管近段病理性闭塞复通中的应用探讨[J].中国计划生育学杂志,1996(2). |
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| 作者姓名： | 张帝开 陈学煌 邝健全 曾韵洁 |
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| 作者单位： | 中山医科大学孙逸仙纪念医院妇产科，中山医科大学孙逸仙纪念医院妇产科，中山医科大学孙逸仙纪念医院妇产科，中山医科大学孙逸仙纪念医院妇产科 广州 510120，广州 510120，广州 510120，广州 510120 |
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| 摘 要： | 对60例输卵管结扎术后近段闭塞(间质部及峡部)妇女采用改良输卵管子宫角植入术,并对部分病例切除的近段输卵管标本进行病理形态学观察。病理检查发现:①输卵管慢性炎症;②输卵管子宫内膜异位症;③管腔内增生的纤维组织填塞。术后随访50例(83.33％),输卵管通畅46例(92％),宫内妊娠29例(58％),校正妊娠率为63.04％,宫外孕1例,表明宫角植入术用于此类结扎术后输卵管近段闭塞病例的复通有较好疗效。对此术式的关键点及术后宫内妊娠率与绝育年限、年龄、术后输卵管长度的关系作了分析。
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| 关 键 词： | 输卵管子宫角植入 绝育 输卵管 病理学 |
Application of a Modified Tubouterine Im-plantation in the Proximal Occlusive Tubes after Tubal Ligation. |
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| Zhang Dikai,et al..Application of a Modified Tubouterine Im-plantation in the Proximal Occlusive Tubes after Tubal Ligation.[J].Chinese Journal of Family Planning,1996(2). |
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| Authors: | Zhang Dikai |
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| Institution: | Zhang Dikai,et al. SunYat sen Memorial Hopital,Sun Yat sen University of Medical Sciences,Guangzhou,510120. |
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| Abstract: | years, of which 46 cases became repatent (92%), and 29 cases became normal pregnancy (58%),rectified pregnancy rate was 63. 04%, 1 ectopic pregnancy. This indicated that this modified operation produced a better result for the patients who had obstruction in proximal tube after tubal ligation. The key of the modified operation, and the relationship of the pregnancy rate to the period of sterilization, age and the length of the tubes after operation are analysed.For 60 cases with proximal occlusive fallopian tubes (interstitial and isthmic portion ) after tubal ligation, we performed tubocormual implantation with a modified method and the exicised proximal occlusive tubal segments were examined pathologically. The pathologic changes included; (1) chronic tubal inflammation 5 (2) tubal en-dometriosis; (3) obliterative fibrosis. 50 cases (83. 33%) were followed up over 1 |
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| Keywords: | Tubocornual implantation Sterilization Fallopian tube Pathology |
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