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绝育术后输卵管的再生(作者译)

[Regeneration of the Fallopian tubes following sterilization (author's transl)].

作者信息

Semm K, Philipp E

出版信息

Geburtshilfe Frauenheilkd. 1979 Jan;39(1):14-9.

PMID:154428
Abstract

After any trauma to the fallopian tubes by a sterilizing operation, pregnancy occurs. If the sterilizing procedure was by high frequency current coagulation, large areas of the fallopian tube must be destroyed down into the mesosalpinx in order to avoid the preprogrammed recanalization tendency of the muellerian duct. Fertilization has occurred in recanalized fallopian tubes which only showed a cubic epithelium. Extensive destruction of the fallopian tube is today not justifiable because of the possibility of interference with the ovarian blood supply and subsequent hormonal damage. At present the safest method of female sterilization is by tissue coagulation of segment of the fallopian tube at 100 centigrade and division of the coagulated portion. In 1000 cases there were no pregnancies.

摘要

在输卵管因绝育手术受到任何创伤后,仍会发生妊娠。如果绝育手术采用高频电流凝固法,必须将输卵管的大片区域一直破坏到输卵管系膜,以避免苗勒管预先设定的再通倾向。在仅显示立方上皮的再通输卵管中发生了受精。由于可能干扰卵巢血液供应及随后的激素损害,如今对输卵管进行广泛破坏是不合理的。目前,女性绝育最安全的方法是在100摄氏度对输卵管节段进行组织凝固并切除凝固部分。在1000例病例中未出现妊娠情况。

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