Ory Erica M, Hines Randall S, Cleland William H, Rehberg Jonathan F
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Obstet Gynecol. 2008 Feb;111(2 Pt 2):508-10. doi: 10.1097/01.AOG.0000296487.36158.41.
Introduced to the U.S. market in late 2002 as a permanent method of contraception, a microinsert device is placed hysteroscopically into the fallopian tubes, not requiring incisions or general anesthesia. This report describes a case of pregnancy more than 6 months after a hysterosalpingogram (HSG) confirming bilateral occlusion after microinsert sterilization.
A 30-year-old gravida 1 para 1 woman desired permanent sterilization. The patient underwent microinsert device placement and 6 months later had an HSG that confirmed bilateral tubal occlusion. More than 6 months after the confirmatory HSG, the patient became pregnant and delivered a term infant by cesarean birth. Cornual perforation was noted at surgery.
This case illustrates pregnancy after microinsertion sterilization and an HSG confirming bilateral tubal occlusion, despite perforation. A microinsert device continues to be a viable option for sterilization.
2002年末，一种微型植入装置作为一种永久性避孕方法被引入美国市场，该装置通过宫腔镜放置于输卵管内，无需切口或全身麻醉。本报告描述了一例在子宫输卵管造影（HSG）证实微型植入绝育术后双侧输卵管闭塞6个月以上仍怀孕的病例。
一名30岁、孕1产1的女性希望进行永久性绝育。患者接受了微型植入装置放置，6个月后进行了子宫输卵管造影，证实双侧输卵管闭塞。在确认性子宫输卵管造影6个月以上后，患者怀孕并剖宫产分娩了一名足月婴儿。手术中发现宫角穿孔。
本病例说明了微型植入绝育术后及子宫输卵管造影证实双侧输卵管闭塞后仍发生怀孕，尽管存在穿孔情况。微型植入装置仍然是一种可行的绝育选择。
