Department of Obstetrics and Gynecology, St. Luke's Hospital and St. Louis University School of Medicine, St. Louis, Missouri 63017, USA.
J Minim Invasive Gynecol. 2010 Sep-Oct;17(5):660-1. doi: 10.1016/j.jmig.2010.05.006.
This case report outlines the successful completion of hysteroscopic sterilization using the Adiana Permanent Contraception device (Hologic, Inc., Bedford, MA) after failure of multiple attempts to bilaterally place the Essure Permanent Birth Control system (Conceptus Inc., Mountain View, CA). The patient desired hysteroscopic sterilization using the Essure system. Although the first coil was easily placed in the right ostium, the second coil could not be passed beyond 2.4 cm into the left ostium. Inasmuch as the Adiana system needs to be passed only 1.4 cm into the ostium, this was found to be adequate for appropriate placement of the implant. Adiana may be an effective alternative to Essure, especially in patients in whom tubal stricture or spasm prevents Essure placement.
本病例报告概述了在多次尝试双侧放置 Essure 节育系统（Conceptus Inc.，加利福尼亚州山景城）失败后，使用 Adiana 永久性避孕装置（Hologic，Inc.，马萨诸塞州贝德福德）成功完成宫腔镜绝育的过程。患者希望使用 Essure 系统进行宫腔镜绝育。尽管第一个线圈很容易放置在右侧宫口，但第二个线圈无法穿过 2.4 厘米进入左侧宫口。由于 Adiana 系统只需穿过宫口 1.4 厘米，因此发现这足以进行适当的植入物放置。Adiana 可能是 Essure 的有效替代方案，特别是在输卵管狭窄或痉挛阻止 Essure 放置的患者中。
