在Gundersen/Lutheran医疗中心于1987年12月至1990年3月对17例已作输卵管绝育的妇女在门诊联合应用腹腔镜及小切口剖腹术作显微外科输卵管复通术进行了前瞻性研究。设对照组5人,病例选择标准年龄小于43岁,体重不超过正常体重的20％,必要时使用诱发排卵,子宫输卵管造影至少一侧卵管近端2cm显影,精液分析正常,,性交后试验正常。回顾原手术记录输卵管绝育术的方法,确证未施行双侧输卵管切除术或输卵管伞端切除术。记录绝育术的时间。手术方案:术前给予单次预防剂量的抗生素。全麻诱导后宫内放置一个小儿用10-French,Foley导管以作输卵管洗液染色的观察。阴道内用纱布卷填塞使子宫升高。再放置第二根Foley氏管引 A total of 17 women undergoing tubal sterilization at the Outpatient Department at the Gundersen / Lutheran Medical Center from December 1987 to March 1990 underwent a prospective study of laparoscopic and small-incision laparotomy for microsurgical fallopian tube recanalization. The control group of 5 people, the case selection criteria for age less than 43 years of age, body weight does not exceed 20% of normal weight, if necessary, the use of induced ovulation, at least one side of the uterine tubal film 2cm proximal tubal development, semen analysis is normal, post- normal. Review of the original surgical method of tubal sterilization, confirmed that no bilateral salpingo-tubal resection or tubal umbrella resection. Record the time of sterilization. Surgical options: Premedication given a single dose of antibiotics. After the induction of general anesthesia intrauterine placement of a pediatric with 10-French, Foley catheter for tubal lotion staining observations. Vaginal volume gauze stuffed uterus. Then place a second Foley’s tube guide