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[输卵管绝育术后的并发症及心身问题]

[Complications and psychosomatic problems after tubal sterilization].

作者信息

Berić B M, Lafond R, Cloutier D, Gagnier R, Aimelk Y, Schlaeder G, Lajoié F

出版信息

Fortschr Med. 1979 Feb 15;97(7):304-6.

PMID:437664
Abstract

From 1969 to 1974, 2080 patients were sterilized, 1702 by the pelviscopic method (electrocoagulation), 375 by laparotomy, and 3 vaginally. About two thirds of the sterilisations by laparotomy were carried out after delivery or during other surgical procedures. 15% of all women were sterilized for medical reasons; the other cases had to be 35 years of age or at least 30 if they had more than 3 children. The overall complication rate was 5% with both methods. Complications during pelviscopy included hemorrhage, bowel injury and burns. Postoperative complications after laparotomy were hemorrhage, thrombosis and wound dehiscence. Only half of the patients could be followed up; there were 4 pregnancies among 1308 women. In more than 50% the sexual relations had improved, in only 3% they had worsened. About 97% of the pelviscopically sterilized patients were satisfied with surgical method chosen and with their present status. It is recommended to allow sufficient time to think the decision over prior to the operation.

摘要

1969年至1974年期间,2080名患者接受了绝育手术,其中1702例采用盆腔镜检查法(电凝术),375例采用剖腹术,3例经阴道手术。剖腹术绝育的患者中约三分之二是在分娩后或其他外科手术期间进行的。所有女性中有15%因医疗原因接受绝育;其他病例如果年龄在35岁及以上,或者如果有3个以上孩子则年龄至少为30岁。两种方法的总体并发症发生率均为5%。盆腔镜检查期间的并发症包括出血、肠损伤和烧伤。剖腹术后的并发症有出血、血栓形成和伤口裂开。只有一半的患者能够得到随访;1308名女性中有4例怀孕。超过50%的人性生活得到改善,只有3%的人恶化。约97%接受盆腔镜绝育的患者对所选择的手术方法及其目前状况感到满意。建议在手术前留出足够的时间来考虑决定。

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1
[Complications and psychosomatic problems after tubal sterilization].[输卵管绝育术后的并发症及心身问题]
Fortschr Med. 1979 Feb 15;97(7):304-6.
2
Sterilization.灭菌
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3
Late sequelae following laparoscopic sterilization employing electrocoagulation and tubal ring techniques: a comparative study.采用电凝和输卵管环技术的腹腔镜绝育术后远期后遗症:一项对比研究。
Ann Chir Gynaecol. 1986;75(5):285-9.
4
Evaluation of contemporary female sterilization methods.当代女性绝育方法的评估。
J Reprod Med. 1981 Sep;26(9):439-53.
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[Tubal sterilization today].[今日的输卵管绝育术]
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[Laparoscopic sterilization with electrocautery: complications and reliability (author's transl)].[腹腔镜电灼绝育术:并发症与可靠性(作者译)]
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10
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