Apelo R, Ramos R, Pachauri S, McCann M F
Int J Gynaecol Obstet. 1978;15(4):325-30. doi: 10.1002/j.1879-3479.1977.tb00704.x.
This paper presents the socio-demographic characteristics, medical histories, and clinical data on 651 women sterilized by interval minilaparotomy procedures in Manila, Philippines. About two thirds of the procedures were performed with local anesthesia; the Pomeroy technique was used for tubal ligation. In 2.8% of the patients, salpingectomy or fimbriectomy was performed on one side because of surgical difficulties and complications. Surgical difficulties were encountered in 19.8% of the procedures; adhesions (4.3%) and bowel interference (4.0%) were the most frequent causes of surgical difficulty. Complications occurred during surgery in 1.7% of the procedures. Early postoperative complications were noted in 9.1% of the cases. None of the patients required readmission to the hospital. While 612 women were followed up at 6 months, 299 were followed up at 12 months. One women (0.2%) became pregnant after sterilization; at repeat minilaparotomy, ligation of the left round ligament rather than the tube was observed. Pelvic surgery, other than pregnancy-related surgery, during the year following sterilization was reported for one patient who underwent exploratory laparotomy with appendectomy and oophorocystectomy. Menstrual pattern changes were minimal. The results of this study suggest that tubal ligation via minilaparotomy is practical, safe, and effective.
本文介绍了在菲律宾马尼拉通过间断性小切口剖腹术进行绝育手术的651名女性的社会人口学特征、病史和临床数据。约三分之二的手术采用局部麻醉;输卵管结扎采用波默罗伊技术。2.8%的患者因手术困难和并发症而进行了一侧输卵管切除术或输卵管伞端切除术。19.8%的手术遇到了手术困难;粘连(4.3%)和肠道干扰(4.0%)是手术困难最常见的原因。1.7%的手术在术中出现并发症。9.1%的病例出现了早期术后并发症。没有患者需要再次入院。612名女性在术后6个月接受了随访,299名女性在术后12个月接受了随访。1名女性(0.2%)绝育后怀孕;再次进行小切口剖腹术时,发现结扎的是左侧圆韧带而非输卵管。有1名患者在绝育后的一年内接受了与妊娠无关的盆腔手术,即 exploratory laparotomy with appendectomy and oophorocystectomy(此处“exploratory laparotomy”可能是“剖腹探查术”,结合后面的“appendectomy and oophorocystectomy”推测可能是“阑尾切除术和卵巢囊肿切除术的剖腹探查术”)。月经模式变化极小。本研究结果表明,通过小切口剖腹术进行输卵管结扎是切实可行、安全有效的。