Cook C L, Benninger T W, Masterson B J
J Reprod Med. 1984 Sep;29(9):693-6.
First-year obstetrics-and-gynecology residents participated in the attempted sterilization of 411 women by either Falope Ring application (FRA) or bipolar electrocoagulation (LTC). Ability to complete the procedure, as well as intraoperative and immediate postoperative complication rates, was reviewed. Characteristics that predisposed women to complications were assessed. Complications were more common in 165 women who underwent sterilization with FRA than in those who had LTC. Two FRA patients (0.9%) required laparotomy because of bleeding. In addition, failure to establish a pneumoperitoneum led to a minilaparotomy in one case. Nineteen FRA women (11.5%) experienced minor complications. The only major complications with the use of LTC were the need for minilaparotomy in two women in whom a pneumoperitoneum could not be established. Minor complications occurred in 4 of 227 LTC cases (1.8%). Current or past patient characteristics did not influence outcome except in the cases of failure to establish a pneumoperitoneum; those women were significantly heavier than others in this series. Limited experience in the instruction of FRA may have contributed to the higher complication rate and to the greater number of problems complicating sterilization with FRA as compared to LTC.
妇产科一年级住院医师对411名女性进行了绝育手术，采用的方法是应用法洛皮环（FRA）或双极电凝术（LTC）。回顾了完成手术的能力以及术中及术后即刻的并发症发生率。评估了使女性易发生并发症的特征。接受FRA绝育手术的165名女性比接受LTC绝育手术的女性并发症更常见。两名FRA患者（0.9%）因出血需要进行剖腹手术。此外，有1例因未能建立气腹而进行了小剖腹手术。19名FRA女性（11.5%）出现轻微并发症。使用LTC的唯一主要并发症是两名无法建立气腹的女性需要进行小剖腹手术。227例LTC病例中有4例（1.8%）出现轻微并发症。除了未能建立气腹的病例外，目前或过去的患者特征并未影响手术结果；在该系列中，这些女性明显比其他女性体重更重。与LTC相比，FRA的指导经验有限可能导致了更高的并发症发生率以及更多使FRA绝育手术复杂化的问题。
