Loffer F D, Pent D
Obstet Gynecol. 1980 May;55(5):643-8.
The authors compare their experience with pregnancies after laparoscopic sterilization with thos reported in the literature. When misidentification and luteal phase pregnancies are excluded, the true failure rate for laparoscopic sterilization varies between 0.9 and 6 per 1000 sterilizations, depending in part on the technique used. This rate is similar to that of nonlaparoscopic techniques. The mechanical methods have a slightly higher rate than do the electrical methods. Pregnancies that occur after a method failure have a high risk of being ectopic. Reversal of laparoscopic sterilizations has now been reported with most methods. Reimplantation of the tube into the uterus and microsurgical techniques appear to produce similar results in patients sterilized by electrosurgical methods. Patients sterilized by mechanical methods are best managed by microsurgical reanastomosis.
作者将他们腹腔镜绝育术后妊娠的经验与文献报道的经验进行了比较。排除识别错误和黄体期妊娠后，腹腔镜绝育术的真实失败率在每1000例绝育手术中为0.9至6例，部分取决于所使用的技术。该比率与非腹腔镜技术相似。机械方法的失败率略高于电方法。方法失败后发生的妊娠异位风险很高。现在已报道大多数方法都可进行腹腔镜绝育术的逆转。将输卵管重新植入子宫和显微外科技术在接受电外科方法绝育的患者中似乎产生相似的结果。接受机械方法绝育的患者最好通过显微外科再吻合术进行处理。
