Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, Maryland.
J Minim Invasive Gynecol. 2018 Nov-Dec;25(7):1157-1164. doi: 10.1016/j.jmig.2017.09.012. Epub 2017 Sep 20.
Sterilization is the most common form of contraception used worldwide and is highly effective in preventing unintended pregnancy. Each of the available sterilization methods has unique advantages and disadvantages that influence the choice of approach for each individual patient. Salpingectomy for sterilization has become more popular in recent years, with mounting evidence suggesting a protective effect against ovarian cancers originating in the fallopian tube. At the same time, Essure hysteroscopic sterilization has come under scrutiny because of increasing reports of possible adverse effects associated with its use. Here we review clinical updates in sterilization techniques, with a focus on salpingectomy and Essure hysteroscopic sterilization.
绝育是全球范围内最常用的避孕方式，在预防意外怀孕方面非常有效。现有的绝育方法各有优缺点，这会影响到每位患者的选择。近年来，输卵管切除术绝育的应用越来越普遍，越来越多的证据表明其对起源于输卵管的卵巢癌具有保护作用。与此同时，Essure 宫腔镜绝育因其使用可能带来的不良反应报告增多而受到关注。本文将对绝育技术的临床进展进行综述，重点介绍输卵管切除术绝育和 Essure 宫腔镜绝育。
