Dodge S T, Pumphrey R S, Miyazawa K
Fertil Steril. 1986 Jun;45(6):774-7. doi: 10.1016/s0015-0282(16)49391-x.
Seventy-six women requesting reversal of sterilization underwent at least 1 operative procedure during a 27-month period, and 14 (18.4%) were found to have pelvic endometriosis. The endometriosis patients were noted to have had significantly fewer pregnancies (1.8 versus 2.9, P less than 0.01) before sterilization than those without endometriosis, but the two groups did not differ significantly in mean age (30.8 versus 30.3 years), type of sterilization or in mean number of years since sterilization (5.0 versus 5.5 years). In only two individuals were proximal tubal segment fistulas found at the time of reversal, and neither had endometriosis. We conclude that pelvic endometriosis is more common in patients with bilateral tubal occlusion than previously suspected and that its presence indicates that endometriosis implants can persist for prolonged periods of time, can give rise to new implants, or do not require the tubal reflux of menstrual debris to form.
76名要求输卵管复通的女性在27个月期间至少接受了1次手术，其中14名（18.4%）被发现患有盆腔子宫内膜异位症。与无子宫内膜异位症的女性相比，子宫内膜异位症患者绝育前的妊娠次数显著更少（分别为1.8次和2.9次，P<0.01），但两组的平均年龄（分别为30.8岁和30.3岁）、绝育方式或绝育后的平均年限（分别为5.0年和5.5年）并无显著差异。复通时仅在2例患者中发现近端输卵管段瘘，且这2例均无子宫内膜异位症。我们得出结论，盆腔子宫内膜异位症在双侧输卵管阻塞患者中比之前怀疑的更为常见，其存在表明子宫内膜异位症植入物可长期持续存在、可引发新的植入物，或形成并不需要经输卵管反流的月经碎片。
