输卵管切除术

Procedures included hysterectomy (38%), major adhesiolysis (28%), endometriosis ablation/excision (24%), salpingectomy (13%), cystectomy (1%), and adenectomy (1%).

手术项目包含子宫切除手术(38%)、大部黏膜分离手术(28%)、子宫内膜异位摘除/切除手术(24%)、输卵管切除术(13%)、膀胱切除手术(1%)及蝶窦切除手术(1%)等。

Methods The instruments were installed by three foramina methods after general anestheasia.Various operation applicable to the problem of case.For example salpingectomy,salpingotomy,partial ovariotomy,adnexectomy and pelvic abscess incision drainage.

在全麻下采取常规三孔法置入腹腔镜器械，根据不同疾病采取相应的手术方法，如：输卵管切除术，输卵管开窗术。

Objective To investigate the effect of salpingectomy on the response of each ovary in patients.

目前人们对输卵管妊娠及输卵管积水行输卵管切除术存在不同意见。

Hydrosalpinx is detrimental to the outcome of IVF-ET and may cause the increase of abortion,appropriate procedure should be adopted to deal with the problem before the IVF-ET and may improve the outcome of IVF-ET and may decrease the abortion rate.Compared with the salpingectomy,the proximal tubal ligation with distal tubal salingostomy may be a better option in this situation and it may cause less interference to the ovarian function.

输卵管积水对IVF-ET有不良影响，增加了流产率及异位妊娠率，在IVF-ET前对输卵管积水进行适当的处理有助于提高临床妊娠率，降低流产率；与输卵管切除术相比，输卵管近端结扎伞端造口术对卵巢功能影响较小，不增加流产率及异位妊娠率。

The data were divided into four groups,A group included 57 cycles:a proximal tubal ligation with distal tubal salingostomy had been introduced to the patients before the IVF.B group included 55 cycles,a salpingectomy had been introduced to the patients before the IVF.C group included 52 cycles:no surgical procedure was adopted before IVF-ET.The control group was defined as D group and included 78 cycles of IVF-ET.

回顾性分析2007年3月至2009年3月在沈阳204医院生殖中心因输卵管性不孕接受IVF-ET 治疗共242周期的临床资料，根据IVF-ET前输卵管情况分4组，A组：57个周期，采用输卵管近端结扎伞端造口术；B组：55个周期，已行输卵管切除术；C组：52个周期，积水未行手术组；D组：78个周期，单纯输卵管阻塞，作为对照组。

The lower pregnancy rate was found in Group C,the highest abortion rate and ectopic pregnancy rate were found in Group C was 21.15% and 7.69% repectively,and was statistially different from that in control group (P.05).Conclusion Hydrosalpinx is detrimental to the outcome of IVF-ET and may cause the increase of abortion,appropriate procedure should be adopted to deal with the problem before the IVF-ET and may improve the outcome of IVF-ET and may decrease the abortion rate.

输卵管积水对IVF-ET有不良影响，增加了流产率及异位妊娠率，在IVF-ET前对输卵管积水进行适当的处理有助于提高临床妊娠率，降低流产率；与输卵管切除术相比，输卵管近端结扎伞端造口术对卵巢功能影响较小，不增加流产率及异位妊娠率。

Methods The data of 242 cycles of IVF-ET which were accomplished in the Reproductive Medicine Center of 204 hospital during March 2007 and March 2009 with a history of hydrosalpinx were analyzed retrospectively.The data were divided into four groups,A group included 57 cycles:a proximal tubal ligation with distal tubal salingostomy had been introduced to the patients before the IVF.

回顾性分析2007年3月至2009年3月在沈阳204医院生殖中心因输卵管性不孕接受IVF-ET治疗共242周期的临床资料，根据IVF-ET前输卵管情况分4组，A组：57个周期，采用输卵管近端结扎伞端造口术；B组：55个周期，已行输卵管切除术；C组：52个周期，积水未行手术组；D组：78个周期，单纯输卵管阻塞，作为对照组。

Linear salpingostomy or segmental resection is the procedure of choice if the fallopian tube is to be retained.

如果要保留输卵管应进行线性或部分切除，如要切除输卵管可进行输卵管切除术。

objective to evaluate the clinical value of early diagnosis and therapy of suspicious ectopic pregnancy by laparoscopy.methods the clinical data of 53 suspicious tubal pregnancy patients were analyzed retrospectively,who had received laparoscopic operation in our hospital from january 2003 to december 2005.results all cases received laparoscopic operation,none was transferred to traditional surgery during the operation.46 cases were diagnosed as tubal pregnancy during the operation with pathologic proof.preoperative diagnosis rate was 86.8%.the salpingecstomy were performed in the 32 cases.the salpingotomy were performed in the 7 cases.conclusion the laparoscopic operation is the best choice in the early diagnosis and therapy of suspicious ectopic pregnancy,and it gain time for conservative therapy.but not too early.

目的 评价可疑异位妊娠患者腹腔镜早期诊治的临床价值。方法收集2003年1月～2005年12月收治的经腹腔镜手术治疗的可疑输卵管妊娠患者53例资料进行回顾性分析。结果 53例手术均经腹腔镜完成，无1例中转，术中诊断输卵管妊娠的46例，术前诊断率86.8%，32例行输卵管切除术，7例行保守性手术。结论腹腔镜手术是早期确诊可疑异位妊娠患者的最佳选择，也为保守性治理赢得时间，但不宜操之过急。

She was initially treated with unilateral salpingo-oophorectomy and a contralateral wedge resection for tumor invasion, followed by 6-course of the PVB (cisplatin+ vinblastine+ bleomycin) regimen, second operation, and an additional 6-course EP with complete remission.

她在十三岁时接受单侧卵巢输卵管切除术及对侧卵巢扇形切除术，接著接受六次的多种药物结合的化学治疗。然后在第二次手术后，发现残余肿瘤仍然存在，又接受保留生育能力的保守手术后，再追加额外六次的不同配方的化学治疗至疾病完全消除为止。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。