Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Centre, 325, Section 2, Cheng-Kung Road, Nei-Hu, Taipei 114, Taiwan, ROC.
Arch Gynecol Obstet. 2011 Apr;283(4):805-8. doi: 10.1007/s00404-010-1435-z. Epub 2010 Mar 26.
To compare transvaginal with laparoscopic tubal sterilization with respect to invasiveness and outcomes.
The outcomes of 103 patients who received interval tubal sterilization were compared. Group A (n = 38) underwent the transvaginal approach, group B (n = 38) a laparoscopic approach, and group C (n = 27) underwent mini-laparotomy due to difficulties encountered in one of the other procedures.
There were no significant differences in patient age between the groups. There was no significant difference in operative time or blood loss between groups A and B. Operative time was significantly longer in group C (120 ± 35 min) than group A (40 ± 5 min) or group B (45 ± 9 min) (p < 0.05). Blood loss was significantly greater in group C (120 ± 30 ml) than in group A (10 ± 2 ml) or group B (10 ± 1 ml) (p < 0.05). The cost of transvaginal tubal sterilization was the lowest, and that of mini-laparotomy was the highest. There was no contraception failure in any group.
Transvaginal tubal sterilization is technically more difficult, but when correctly performed it is not associated with an increased complication rate, and is less costly than laparoscopic sterilization.
比较经阴道与腹腔镜输卵管绝育术的侵袭性和结果。
比较了 103 例接受间隔性输卵管绝育术患者的结局。A 组（n=38）行经阴道途径，B 组（n=38）行腹腔镜途径，C 组（n=27）因其中一种方法遇到困难而行小切口开腹。
各组患者年龄无显著差异。A 组和 B 组手术时间和出血量无显著差异。C 组（120±35min）手术时间明显长于 A 组（40±5min）或 B 组（45±9min）（p<0.05）。C 组（120±30ml）出血量明显多于 A 组（10±2ml）或 B 组（10±1ml）（p<0.05）。经阴道输卵管绝育术费用最低，小切口开腹费用最高。各组均无避孕失败。
经阴道输卵管绝育术技术上更困难，但正确操作时并不增加并发症发生率，且费用低于腹腔镜绝育术。
