Soderstrom R M, Levy B S
Obstet Gynecol. 1987 Mar;69(3 Pt 1):425-6.
Recent reports of bipolar sterilization failures have questioned the compatibility of bipolar forceps used with different electrogenerators. Four different bipolar forceps were matched and mismatched with five generators and the electrocoagulation effect was studied by two physicians trained in the histologic evaluation of electrical injury. All bipolar systems, matched or mismatched, failed to coagulate the fallopian tube as completely as unipolar control--except for the matched Kleppinger system. Conversely, when mismatched with other generators the coagulation effect of the Kleppinger forceps fell far below that of other bipolar forceps--matched or mismatched. Each bipolar system should be compatible and its electrocoagulation effect studied before it is used for female sterilization.
近期关于双极绝育失败的报告对不同电发生器所使用的双极钳的兼容性提出了质疑。将四种不同的双极钳与五种发生器进行匹配和不匹配组合，并由两名接受过电损伤组织学评估培训的医生研究电凝效果。所有双极系统，无论是匹配还是不匹配，都无法像单极对照组那样完全凝结输卵管——除了匹配的克莱平格系统。相反，当与其他发生器不匹配时，克莱平格钳的凝血效果远低于其他双极钳——无论是匹配还是不匹配的情况。每种双极系统在用于女性绝育之前都应确保兼容性并研究其电凝效果。
