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阑尾切除术后机械性肠梗阻

Post appendectomy mechanical sterility.

作者信息

Birkenfeld A S, Brzezinski A, Schenker J G

出版信息

Acta Eur Fertil. 1982 Sep;13(3):173-6.

PMID:7183045
Abstract

The incidence of female sterility due to pelvic adhesions following appendectomy was evaluated. Two groups of women were investigated: the first group consisted of girls who underwent appendectomy under the age of ten. Of this group, we were able to detect 24 women of whom 9 were still single and 13 have delivered one or more children. The second group was selected from women in whom mechanical sterility was confirmed by laparoscopy or laparotomy. The rate of appendectomy in this group was found to be 29 percent compared to 7-10 percent in the general population. Seventy one percent of the women who underwent appendectomy were above the age of seventeen when operated. It is concluded that women undergoing appendectomy, particularly after adolescence, are at higher risk for subsequently developing mechanical sterility.

摘要

对阑尾切除术后因盆腔粘连导致女性不育的发生率进行了评估。研究了两组女性:第一组由十岁以下接受阑尾切除术的女孩组成。在这组中,我们找到了24名女性,其中9人仍单身,13人已生育一个或多个孩子。第二组是从经腹腔镜检查或剖腹手术确诊为机械性不育的女性中挑选出来的。该组阑尾切除术的发生率为29%,而普通人群中的发生率为7%-10%。接受阑尾切除术的女性中有71%在手术时年龄超过17岁。得出的结论是,接受阑尾切除术的女性,尤其是青春期后接受手术的女性,随后发生机械性不育的风险更高。

相似文献

1
Post appendectomy mechanical sterility.阑尾切除术后机械性肠梗阻
Acta Eur Fertil. 1982 Sep;13(3):173-6.
2
[Late sequelae of appendectomy with special reference to adhesions in the lower abdomen, chronic abdominal pain and sterility].[阑尾切除术后的远期后遗症,特别提及下腹部粘连、慢性腹痛和不育症]
Zentralbl Gynakol. 1989;111(16):1101-12.
3
The role of wedge resection of the ovary as a cause for mechanical sterility.
Surg Gynecol Obstet. 1975 Sep;141(3):417-8.
4
Fertility and long-term complications four to nine years after appendectomy during pregnancy.孕期阑尾切除术后4至9年的生育能力及远期并发症
Acta Obstet Gynecol Scand. 1998 Aug;77(7):746-50.
5
[Laparoscopic diagnosis of sterility: evaluation of the results of surgical operations on the pelvis minor].[腹腔镜绝育诊断:盆腔小手术结果评估]
Ann Ostet Ginecol Med Perinat. 1980 May-Jun;101(3):168-72.
6
Prophylactic Oophorectomy: Reducing the U.S. Death Rate from Epithelial Ovarian Cancer. A Continuing Debate.预防性卵巢切除术:降低美国上皮性卵巢癌死亡率。一场持续的争论。
Oncologist. 1996;1(5):326-330.
7
[Appendicitis and female sterility].[阑尾炎与女性不育]
Akush Ginekol (Sofiia). 1969;8(5):426-30.
8
Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss.孕妇行阴性阑尾切除术与胎儿丢失的重大风险相关。
J Am Coll Surg. 2007 Oct;205(4):534-40. doi: 10.1016/j.jamcollsurg.2007.05.025. Epub 2007 Aug 23.
9
[Effect of appendectomy as an etiological factor in tubal sterility].
Akush Ginekol (Sofiia). 2004;43 Suppl 1:4-5.
10
Pelvic adhesions and sterility.盆腔粘连与不育症。
Acta Eur Fertil. 1975 Sep;6(3):279-85.

引用本文的文献

1
The Association of Appendectomy, Adhesions, Tubal Pathology, and Female Infertility.阑尾切除术、粘连、输卵管病变与女性不孕的关联
JSLS. 2019 Jan-Mar;23(1). doi: 10.4293/JSLS.2018.00099.
2
Laparoscopy reduces unnecessary appendicectomies and improves diagnosis in fertile women. A randomized study.腹腔镜检查可减少不必要的阑尾切除术,并改善对育龄妇女的诊断。一项随机研究。
Surg Endosc. 2001 Feb;15(2):200-2. doi: 10.1007/s004640000255.
3
Introducing diagnostic laparoscopy for patients with suspected acute appendicitis.为疑似急性阑尾炎患者引入诊断性腹腔镜检查。
Surg Endosc. 2000 Oct;14(10):942-7. doi: 10.1007/s004640000225.