Bailer P, Rauskolb R
Geburtshilfe Frauenheilkd. 1975 Oct;35(10):747-53.
The double puncture laparoscopy was abandoned in our department in favor of the single puncture technique. 187 diagnostic laparoscopies and 617 laparoscopic tubal ligations are reviewed. In 46% of the diagnostic laparoscopies, the findings were confirmed. In 40% of the diagnostic laparoscopies, normal findings were seen and in 11%, a different abnormal finding than suspected was found. In 3% of women, the findings could not be elucidated by laparoscopy. None of the 617 patients who underwent laparoscopic tubal sterilization have become pregnant. In 5% of the patients (0.6%) complications occurred. In 3 cases a laparotomy became necessary. In 2 cases there was bleeding from the fallopian tube or the greater omentum and in 1 case there was a trauma to the intestine. Laparoscopic tubal sterilization by the single puncture technique and coagulation without division of the tube only, is considered to be the lowest risk method of the laparoscopic tubal sterilizations.
我们科室已放弃双孔腹腔镜检查，转而采用单孔技术。回顾了187例诊断性腹腔镜检查和617例腹腔镜输卵管结扎术。在46%的诊断性腹腔镜检查中，检查结果得到证实。在40%的诊断性腹腔镜检查中，发现结果正常，11%的检查发现了与怀疑不同的异常情况。3%的女性患者，腹腔镜检查无法明确其检查结果。617例接受腹腔镜输卵管绝育术的患者均未怀孕。5%的患者（0.6%）出现了并发症。有3例患者需要进行剖腹手术。2例患者输卵管或大网膜出血，1例患者肠道受到损伤。仅采用单孔技术且不切断输卵管进行凝固的腹腔镜输卵管绝育术，被认为是腹腔镜输卵管绝育术中风险最低的方法。
