引言:过去对结扎过输卵管的重建曾试用各种不吸收性支架,可是在大多数病例中结果不佳,且须再次手术来取出支架。近年来曾报道运用显微外科技术,作再吻合术不用支架的效果更好。方法:过去五年中,对输卵管端端吻合术,用可吸收性缝线作为支架,无论在输卵管通畅方面或是子宫腔内妊娠成功效果都很满意。输卵管吻合时用一根2-0至4-0的可吸收性缝线(根据管腔的直径),插入新开口的管腔,并用7-0 Dexon缝线固定。为了预防盆腔粘连及维持输卵管通畅,在完成手术时通过一根保留在子宫内的细导管,以下列处方作输卵管通液:醋酸甲基强的松龙1cc(40mg), INTRODUCTION: In the past, various non-absorbent stents were tried for the reconstruction of ligation of the fallopian tubes, but in most cases poor results were obtained and surgery was again required to remove the stents. In recent years, it has been reported that the use of microsurgical techniques for re-anastomosis without stent better. Methods: Over the past five years, the end of tubal anastomosis, with absorbable suture as a stent, both in tubal patency or uterine cavity pregnancy are very satisfactory results. Tubal anastomosis is performed with a 2-0 to 4-0 resorbable suture (depending on the diameter of the lumen) inserted into the newly opened lumen and secured with 7-0 Dexon suture. In order to prevent pelvic adhesions and to maintain tubal patency, tubal fluid was passed through a thin catheter retained in the uterus at completion of surgery, using the following prescriptions: Methylprednisolone acetate 1 cc (40 mg)