Aubert J M, Lubell I, Schima M
Int J Gynaecol Obstet. 1980;18(6):406-10. doi: 10.1002/j.1879-3479.1980.tb00530.x.
The mortality risk associated with female sterilization in an analysis of 255 812 procedures performed in developing countries from 1973 to 1979 is reviewed. Fifteen sterilization-related deaths were reported during this period. The overall mortality was 5.86/100 000 procedures. The most common cause of death was the result of anesthetic complications, with infection in second place. The risk of death by procedure was higher with culdoscopy than with minilaparotomy or laparoscopy. The authors believe that low mortality figures are realistic and can be achieved in developing countries when experienced surgical teams are provided with adequate facilities, observe strict medical standards, utilize minilaparotomy and laparoscopy and avoid general and spinal anesthesia.
本文回顾了1973年至1979年在发展中国家进行的255812例女性绝育手术相关的死亡风险。在此期间报告了15例与绝育相关的死亡病例。总体死亡率为每100000例手术5.86例。最常见的死亡原因是麻醉并发症，其次是感染。与小切口剖腹术或腹腔镜检查相比，通过 culdoscopy进行手术的死亡风险更高。作者认为，当经验丰富的手术团队配备足够的设施、遵守严格的医疗标准、采用小切口剖腹术和腹腔镜检查并避免全身麻醉和脊髓麻醉时，在发展中国家可以实现较低的死亡率数字。
