【摘要】 目的 探讨显微输卵管复通术的手术效果。 方法 采用放大10倍的显微镜对20例输卵管结扎术后患者和30例输卵管性不孕患者进行输卵管复通术。 结果 通过随访观察4年，绝育术后患者术后输卵管复通率为90.0%(18/20)，复孕率为85.0%(17/20);输卵管性不孕患者术后复通率63.3%(19/30)，复孕率53.3%(16/30)。 结论 输卵管阻塞的原因是手术成功的关键，输卵管复通部位和结扎方式明显影响输卵管的复孕率;显微输卵管复通术可明显提高输卵管复通率和复孕率。

    关键词 显微手术 输卵管 复通术

    Clinical analysis of50cases underwent microsalpingostomy

    Liu Xiaochun，Xie Qinghuang，Zheng Yuhua，et al.

    Department of Obstetrics and Gynecology，Foshan Maternal and Child Health Hospital，Foshan528000.

    【Abstract】 Objective To discuss the operation effect of microsalpingostomy.Methods 20patients with his-tory of ligation of fallopian tube and30patients with tubal infertility underwent salpingostomy by microscope amplifying10times.Results By four years follow-up the reopened rate was90%(18/20)in the patients with sterilization and63.3%(19/30)in the patients with tubal infertility.The pregnant rate was85%(17/20)in the patients with steril-ization and53.3%(16/30)in the tubal infertility.Conclusion The cause of emphraxis of fallopian tube is key to successful surgery.The site of reopen and the way of ligation had significant effect on pregnant rate.Microsalpingos-tomy may raise the rate of reopen and pregnancy. ......