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복경경하 미세 난관복원수술에 대한 임상적 고찰

Clinical Outcome of Laparoscopic Microsurgical Tubal Anastomosis

대한산부인과학회지 1995년 38권 11호 p.2132 ~ 2137
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성혜리/차선희/이정노/차광열

Abstract


We evaluated 33 cases of laparoscopic microsurgical tubal anastomosis performed between Dec. 1993 and Dec. 1994 and the results are as follows:
@EN 1) The previous tubal sterilization method was bipolar cauterization in 9 cases, tubal ring in 19 cases, and 5 cases of Pomeroy method.
2) The anastomosis site in the favorable tube was isthmic-isthmic in 3 cases, cornual isthmic in 3 cases, cornual-isthmic in 3 cases, isthmic-ampulla in 24 cases, cornual-ampulla in 2 cases, and ampulla-ampulla in 1 case.
3) The overall pregnancy rate was 73.3%(22/30) in a 4 month follow up period. 3 cases were excluded from the pregnancy rate because 2 were in premartital status and one was lost during follow-up.
4) The mean interval to conceive from the operation was 2.1±0.3 months.
5) There was no ectopic pregnancy during our follow up period.
6) There were no intraoperative or postoperative complications.
Considering the high pregnancy rate inspite of the short follow up period in our experience, this procedure could certainly replace the conventional open microsurgery.

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