Department of General Surgery ad Specialty, Universidade Federal Fluminense, Niterói, RJ, Brazil.
Department of Obstetrics, Hospital da Mulher Mariska Ribeiro, Rio de Janeiro, RJ, Brazil.
Rev Bras Ginecol Obstet. 2020 Jun;42(6):325-332. doi: 10.1055/s-0040-1712129. Epub 2020 Jun 30.
To evaluate the insertion of the hysteroscopic intratubal sterilization device for female sterilization concerning the technique and the feasibility.
Retrospective study with data collection of medical records of 904 patients who underwent device insertion between January and September 2016 in a public hospital in Rio de Janeiro (Brazil) with data analysis and descriptive statistics.
In 85.8% of the cases, the uterine cavity was normal, and the most commonly-described findings upon hysteroscopy were synechiae (9.5%). The procedure lasted an average of 3.56 minutes (range: 1 to 10 minutes), and the pain was considered inexistent or mild in 58,6% of the cases, mild or moderate in 32,8%, and severe or agonizing in less than 1% (0.8%) of the cases, based on a verbal scale ranging from 0 to 10. The rate of successful insertions was of 85.0%, and successful tubal placement was achieved in 99.5% of the cases. There were no severe complications related to the procedure, but transient vasovagal reactions occurred in 5 women (0.6%).
Female sterilization performed by hysteroscopy is a safe, feasible, fast, and well-tolerated procedure. The rates of successful insertions and tubal placements were high. There were few and mild adverse effects during the procedure, and there were no severe complications on the short term.
评估宫腔镜下输卵管绝育装置在女性绝育中的插入技术和可行性。
回顾性研究，收集 2016 年 1 月至 9 月在巴西里约热内卢一家公立医院接受器械插入的 904 例患者的病历资料，进行数据分析和描述性统计。
在 85.8%的病例中，子宫腔正常，宫腔镜检查最常见的发现是粘连（9.5%）。手术平均持续 3.56 分钟（范围：1 至 10 分钟），58.6%的病例疼痛程度为不存在或轻度，32.8%为轻度或中度，不到 1%（0.8%）为重度或剧痛，根据 0 至 10 的口头评分。器械插入成功率为 85.0%，99.5%的病例输卵管放置成功。该手术无严重相关并发症，但 5 名妇女（0.6%）出现短暂的血管迷走神经反应。
宫腔镜下女性绝育是一种安全、可行、快速且耐受性良好的手术。器械插入和输卵管放置成功率均较高。手术过程中不良影响较少且轻微，短期无严重并发症。
