Smith R P, Maggi C S, Nolan T E
Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta.
Obstet Gynecol. 1991 Aug;78(2):209-12.
Vaginal tubal sterilization was once the procedure of choice for interval sterilization. This technique fell out of favor in part because of a perceived increase in morbidity over the evolving laparoscopic techniques. Complications should be minimized by the advent of routine antibiotic prophylaxis and improved operating techniques that allow shorter procedure times. We retrospectively reviewed 240 vaginal tubal sterilization procedures performed by a single physician. Long-term follow-up (more than 5 years) was available in over half the study group (52%). Half of all operations were completed in 12 minutes or less, with an average time of 14.5 minutes. The planned vaginal procedure was completed in all but two cases, both of which required laparotomy secondary to dense adhesions. Median estimated blood loss was 20 mL. No postoperative infection was encountered. These data suggest that vaginal tubal sterilization may still be a safe alternative for interval sterilization.
阴道输卵管绝育术曾是择期绝育的首选术式。该技术逐渐失宠，部分原因是相较于不断发展的腹腔镜技术，人们认为其发病率有所增加。常规抗生素预防措施的出现以及手术技术的改进使手术时间缩短，并发症应会降至最低。我们回顾性分析了由一位医生实施的240例阴道输卵管绝育术。超过半数的研究组患者（52%）有超过5年的长期随访资料。所有手术的一半在12分钟或更短时间内完成，平均时间为14.5分钟。除两例因致密粘连需行剖腹手术外，其余所有计划的阴道手术均顺利完成。估计术中失血中位数为20毫升。未发生术后感染。这些数据表明，阴道输卵管绝育术可能仍是择期绝育的一种安全选择。
