输卵管绝育术后的月经模式。

Menstrual pattern following tubal sterilization.

机构信息

Uludag University, Department of Obstetrics and Gynecology, Bursa 16059, Turkey.

出版信息

Med Sci Monit. 2010 Apr;16(4):CR197-201.

PMID:20357719

Abstract

BACKGROUND

We sought to investigate the effects of tubal sterilization over menstrual parameters and determine the timing of the detected influences.

MATERIAL/METHODS: We questioned 97 voluntary patients among 301 women who had been subjected to tubal sterilization in our clinic between 1996-2006. Patients were asked via questionnaire about menstrual parameters concerning the 5 years before and after the surgery, which focused on each year separately. Statistical analyses were carried out by considering the preoperative data of patients as controls and postoperative data as the study group.

RESULTS

Some kind of pattern change was detected in 7.6% of all patients. Hemorrhage with chunky clots of blood incidence decreased significantly by the second postoperative year (31.9%, 21.6%; P<.05). We had a significant decrease in dysmenorrhea postoperatively in the third, fourth, and fifth years (38.1%, 21.6%, 16.4%, 13.4%; P<.05). While the premenstrual syndrome was 45.3% before surgery, it was 30.9% and 24.7% postoperatively in the fourth and fifth years (P<.05).

CONCLUSIONS

Hemorrhage and dysmenorrhea were most frequently seen after tubal sterilization. The statistically significant drop in the mean weekly coital frequency during postoperative period indicates a need for further studies, which might evaluate the reasons behind this reduction.

摘要

背景

我们旨在研究输卵管绝育术对月经参数的影响，并确定所检测影响的发生时间。

材料/方法：我们调查了 97 名自愿患者，这些患者均于 1996 年至 2006 年期间在我们的诊所接受了输卵管绝育术。通过问卷调查，患者被询问了绝育手术前 5 年和后 5 年的月经参数，每年分别进行询问。通过将患者的术前数据作为对照，将术后数据作为研究组进行统计分析。

结果

所有患者中约有 7.6%出现某种模式变化。术后第二年，出血伴有大量血块的发生率明显下降（31.9%，21.6%；P<.05）。术后第三、四、五年痛经明显减轻（38.1%、21.6%、16.4%、13.4%；P<.05）。术前经前期综合征发生率为 45.3%，术后第四、五年分别为 30.9%和 24.7%（P<.05）。