国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (3): 251-255.

• 讲座 • 上一篇    下一篇

输卵管显微手术的七项基本原则

LI Tin-chiu，侯海燕，陈亚琼   

  1. 649490 香港中文大学妇产科学系（LI Tin-chiu）；中国人民武装警察部队后勤学院附属医院妇产科（侯海燕，陈亚琼）；中国医学科学院 北京协和医学院（侯海燕）；天津中医药大学（侯海燕）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-05-15 发布日期:2016-05-15
  • 通讯作者: LI Tin-chiu

Seven Fundamental Principles of Tubal Microsurgery

LI Tin-chiu，HOU Hai-yan，CHEN Ya-qiong   

  1. Department of Obstetrics and Gynaecology，Chinese University of Hong Kong，Hongkong 649490，China（LI Tin-chiu）；Department of Obstetrics and Gynecology，Affiliated Hospital of Logistics College of Chinese People′s Armed Police Force，Tianjin 300162，China（HOU Hai-yan，CHEN Ya-qiong）；Chinese Academy of Medical Sciences & Peking Union Medical College，Beijing 100730，China（HOU Hai-yan）；Tianjin University of Traditional Chinese Medicine，Tianjin 300193，China（HOU Hai-yan）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15
  • Contact: LI Tin-chiu

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摘要： 输卵管疾病是女性不孕的重要原因之一，包括输卵管近端阻塞，远端粘连、闭锁、积水，输卵管妊娠和绝育术等。输卵管显微手术和体外受精-胚胎移植（IVF-ET）技术是目前主要的治疗方法，两者互为补充。为了在风险最小的情况下提高妊娠率，输卵管显微手术应该由腹腔镜等微创手术经验丰富的医生来完成，并遵循7项基本原则：①一定要有手术适应证；②恰当的患者选择；③选择创伤最小的方法；④具备显微外科器械；⑤组织损伤最小化；⑥精确的解剖重建；⑦避免手术并发症。优秀的外科医生更加注重手术操作细节，懂得如何取舍，并且选择正确的术式实现患者利益最大化。

关键词: 输卵管炎, 不育, 女（雌）性, 显微外科手术, 受精, 体外, 生殖技术, 辅助

Abstract: Fallopian tube disease is an important factor of female infertility, including proximal tubal obstruction, distal tubal occlusion, hydrosalpinx, peritubal adhesions, tubal pregnancy and sterilization. Reproductive microsurgery and in-vitro fertilization and embryo transfer (IVF-ET) technology are two treatment modalities, being complementary to each other. Tubal microsurgery should be performed by experienced surgeons in microsurgery and laparoscopy. There are seven fundamental principles of tubal microsurgery as follows: ①to ensure appropriate indications; ②to select correct patients; ③to adopt the least invasive approach; ④to use microsurgery instruments; ⑤to minimize tissue damage; ⑥to ensure precise anatomy reconstruction; ⑦to reduce complication. In this way, the benefit of tubal surgery will be maximized by cautious operation and perfect procedure.

Key words: Salpingitis, Infertility, female, Microsurgery, Fertilization in vitro, Reproductive techniques, assisted