Riedel H H, Ahrens H, Semm K
J Reprod Med. 1981 Jul;26(7):353-8.
By using a patient questionnaire, we checked the effects of two tubal sterilization procedures (high-frequency [HF] and endocoagulation techniques) in relation to late complications. In the years following high-frequency sterilization, 23 women (8.9%) had hysterectomies; in the endocoagulation group only 9 patients (2.3%) underwent hysterectomy. Patients sterilized by the unipolar high-frequency technique required one to three curettages in 7.8% of cases, whereas only 2.1% of the endocoagulation group required this procedure. Seventy-nine patients in the high-frequency group (30.9%) exhibited menstrual disorders as compared to only 45 (11.7%) in the other group. The combination of menstrual irregularities and menopausal complaints was found in 7.4% of the HF group, while only 2.8% of the endocoagulation group experienced these problems. Menopausal complaints only, without menstrual disorders, occurred in 4.7% and 3.9% of the women, respectively. Eighty-five percent of 330 patients sterilized by the Semm endocoagulation technique had no menstrual complaints or menopausal symptoms; in the HF group this was the case for 160 women (62%). Our results demonstrate that late postoperative complications arise less often in patients sterilized by endocoagulation.
通过使用患者问卷，我们检查了两种输卵管绝育手术（高频[HF]和内凝技术）与晚期并发症相关的影响。在高频绝育后的几年里，23名女性（8.9%）进行了子宫切除术；在内凝组中，只有9名患者（2.3%）接受了子宫切除术。采用单极高频技术绝育的患者中，7.8%的病例需要进行一至三次刮宫，而在内凝组中，只有2.1%的患者需要进行此手术。高频组中有79名患者（30.9%）出现月经紊乱，而另一组只有45名患者（11.7%）出现月经紊乱。高频组中7.4%的患者同时出现月经不调和更年期症状，而在内凝组中，只有2.8%的患者出现这些问题。仅出现更年期症状而无月经紊乱的女性分别占4.7%和3.9%。采用Semm内凝技术绝育的330名患者中，85%没有月经问题或更年期症状；在高频组中，160名女性（62%）没有这些问题。我们的结果表明，内凝绝育患者术后晚期并发症的发生率较低。
