Escobedo L G, Peterson H B, Grubb G S, Franks A L
Division of Reproductive Health, Center for Health Promotion and Education, Atlanta, GA.
Am J Obstet Gynecol. 1989 Jan;160(1):147-50. doi: 10.1016/0002-9378(89)90108-7.
To update a 1977 to 1978 case-fatality estimate for tubal sterilization in U.S. hospitals, we reviewed the medical records of women reported by the Commission on Professional and Hospital Activities to have died after tubal sterilization procedures in 1979 or 1980. We project that the most reasonable case-fatality rate estimate is slightly greater than 9 per 100,000 sterilizations if all deaths associated with the procedure are considered. Rate estimates that assume minimum and maximum numbers of all associated deaths in our sample are approximately 6 per 100,000 and 10 per 100,000 sterilizations, respectively. However, when only deaths that can be attributed to sterilization per se are considered, the most reasonable case-fatality rate is estimated at between 1 and 2 per 100,000 procedures, a lower rate than previously reported. Rate estimates that assume minimum and maximum numbers of attributable deaths in our sample are approximately 1 per 100,000 and 5 per 100,000 sterilizations, respectively. These results further indicate that death attributable to tubal sterilization is rare.
为更新1977年至1978年美国医院输卵管绝育术的病死率估计值，我们查阅了专业和医院活动委员会报告的1979年或1980年接受输卵管绝育术后死亡女性的病历。我们预计，如果考虑与该手术相关的所有死亡病例，最合理的病死率估计值略高于每10万例绝育手术9例死亡。在我们的样本中，假设所有相关死亡病例数为最小值和最大值时的病死率估计值分别约为每10万例绝育手术6例和10例死亡。然而，当仅考虑可归因于绝育术本身的死亡病例时，最合理的病死率估计为每10万例手术1至2例死亡，这一比率低于先前报告的比率。在我们的样本中，假设可归因死亡病例数为最小值和最大值时的病死率估计值分别约为每10万例绝育手术1例和5例死亡。这些结果进一步表明，可归因于输卵管绝育术的死亡很罕见。
