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输卵管的一点或两点失活?双极高频凝血方法的研究

[One or two-point devitalization of the fallopian tubes? A study of methods of bipolar high-frequency coagulation].

作者信息

Yilmaztürk A, Schlüter W

机构信息

Gynäkologisch-Geburtshilfliche Abteilung, Kreiskrankenhaus, Dannenberg Elbe BRD.

出版信息

Gynakol Rundsch. 1990;30(3):153-60.

PMID:2147162
Abstract

122 women were sterilized by laparoscopic electrocoagulation of the fallopian tube using bipolar high-frequency current. In 59 cases the coagulation was performed only once in the isthmic part of each fallopian tube, whereas in 63 cases this was done twice at a distance of 2 cm. Only in the first group of women 3 cases of spontaneous recanalization were registered which means a failure rate of 5%. The histologic examination revealed a completely regenerated regular mucous epithelium. The total rate of complications for both groups amounts to 0.8%. Consequently, in its security, the method of burning twice each fallopian tube is definitely superior to the practice of one-point devitalization only.

摘要

122名女性通过使用双极高频电流对输卵管进行腹腔镜电凝绝育。59例中,每条输卵管的峡部仅进行一次电凝,而63例则在相距2厘米处进行两次电凝。仅在第一组女性中记录到3例自发再通,这意味着失败率为5%。组织学检查显示有完全再生的规则黏膜上皮。两组的并发症总发生率为0.8%。因此,就安全性而言,每条输卵管烧灼两次的方法明显优于仅进行单点灭活的做法。

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