Cheng M C, Rochat R W
Am J Obstet Gynecol. 1977 Nov 1;129(5):548-52.
To determine the safety of tubal sterilization performed at the time of induced abortion, we compared data on 616 women who underwent induced abortion and concurrent tubal ligation (Group 1) with 1,805 women who had induced abortion only (Group 2). These two groups of women were healthy, seven to 12 weeks pregnant, and between the ages of 16 and 44 years. The partly-standardized morbidity rates for Group 1 and Group 2 were 5.4 and 3.6%, respectively. Thus, the sterilization procedure added 1.8% to the complication rate of induced abortion only. The complication rate for women who had interval culdoscopic ligation under the same conditions in the same department was 2.4%. This is not significantly different from the complication rate of 1.8% attributable to sterilization procedures in women who had abortion and concurrent ligation. We conclude that these data support our present practice of performing tubal ligation at the time of induced abortion, rather than changing to the practice of abortion followed by interval sterilization six weeks later, with its many disadvantages to the patient as well as to those providing family-planning services.
为确定人工流产时进行输卵管绝育术的安全性，我们将616例行人工流产并同期进行输卵管结扎的妇女（第1组）的数据与1805例仅行人工流产的妇女（第2组）的数据进行了比较。这两组妇女均健康，怀孕7至12周，年龄在16至44岁之间。第1组和第2组的部分标准化发病率分别为5.4%和3.6%。因此，绝育手术使仅行人工流产的并发症发生率增加了1.8%。在同一科室相同条件下进行间隔期腹腔镜结扎的妇女并发症发生率为2.4%。这与人工流产并同期结扎妇女中因绝育手术导致的1.8%的并发症发生率无显著差异。我们得出结论，这些数据支持我们目前在人工流产时进行输卵管结扎的做法，而不是改为六周后行人工流产并随后进行间隔期绝育的做法，因为后者对患者以及提供计划生育服务的人员都有诸多不利之处。
