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Essure 经宫颈输卵管绝育术:5 年 X 射线随访。

Essure transcervical tubal sterilization: a 5-year x-ray follow up.

机构信息

Palagi Freestanding Unit, Florence, Italy.

出版信息

Fertil Steril. 2011 May;95(6):2114-5. doi: 10.1016/j.fertnstert.2011.02.022. Epub 2011 Mar 10.

DOI:10.1016/j.fertnstert.2011.02.022
PMID:21392751
Abstract

OBJECTIVE

To evaluate the x-ray appearance of Essure microinserts 5 years after their insertion.

DESIGN

Prospective controlled study.

SETTING

Tertiary referral centers for gynecologic care.

PATIENT(S): Forty-five consecutive women with successful hysteroscopic bilateral placement of the Essure devices and postprocedure satisfactory hysterosalpingography confirmation test.

INTERVENTION(S): Pelvic anteroposterior x-ray.

MAIN OUTCOME MEASURE(S): Stability and and symmetric appearance of Essure microinsert positions; measurement of the intrauterine distance between the two devices.

RESULT(S): After 5 years from their placement, no detachment nor fracture of devices was observed. x-Ray recognition of the device after 5 years showed findings similar to those recorded at 3 months' follow-through hysterosalpingography.

CONCLUSION(S): x-Ray evaluation of findings related to stability of position, symmetric appearance, and distance between the two Essure microinserts corroborates the irreversibility and the reliability of the fibrotic reaction that ensured tubal occlusion after devices placement.

摘要

目的

评估 Essure 微植入物放置 5 年后的 X 射线表现。

设计

前瞻性对照研究。

地点

妇科护理的三级转诊中心。

患者

45 例连续成功行宫腔镜双侧 Essure 装置放置且术后满意的子宫输卵管造影确认试验的妇女。

干预

盆腔前后位 X 射线。

主要观察指标

Essure 微植入物位置的稳定性和对称性外观;测量两个装置之间的宫腔距离。

结果

放置 5 年后,未观察到器械分离或断裂。放置 5 年后的 X 射线检查结果与 3 个月随访子宫输卵管造影检查结果相似。

结论

X 射线评估与位置稳定性、对称外观和两个 Essure 微植入物之间距离相关的发现,证实了放置器械后确保输卵管阻塞的纤维反应的不可逆性和可靠性。

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