Tasset Julia, Jensen Jeffrey T
Department of Obstetrics and Gynecology, Oregon Health & Sciences University, Portland, OR, USA.
Open Access J Contracept. 2023 Mar 17;14:53-59. doi: 10.2147/OAJC.S385255. eCollection 2023.
Permanent contraception meets the needs of many people certain in their decision to never become pregnant in the future. Female permanent contraception procedures became more common than male procedures during the 1970s and 1980s, when laparoscopic surgery became widely available. To better understand the efficacy of these new procedures, the US Centers for Disease Control and Prevention conducted a prospective cohort study, known as the Collaborative Review of Sterilization (CREST). For decades, results of this study have defined perioperative counseling around failure risks of such surgeries. However, laparoscopic technology and techniques have changed significantly in recent decades and evidence has emerged supporting noncontraceptive benefits of tubal excision. Therefore, we present here a review of updated information regarding permanent contraception failure in the modern context and implications for clinical practice and future research directions.
永久性避孕满足了许多人确定自己未来绝不再怀孕的需求。在20世纪70年代和80年代腹腔镜手术广泛应用时，女性永久性避孕手术比男性手术更为常见。为了更好地了解这些新手术的效果，美国疾病控制与预防中心开展了一项前瞻性队列研究，即绝育协作审查（CREST）。几十年来，这项研究的结果界定了此类手术失败风险的围手术期咨询。然而，近几十年来腹腔镜技术和技巧发生了显著变化，并且出现了支持输卵管切除术非避孕益处的证据。因此，我们在此对现代背景下永久性避孕失败的最新信息以及对临床实践和未来研究方向的影响进行综述。
