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[采用帕克兰技术的产后输卵管绝育术]

[Postpartum tubal sterilization with the Parkland technique].

作者信息

Gálvez Asún J

机构信息

Servicio de Obstetricia y Ginecología, Hospital de Los Andes.

出版信息

Rev Chil Obstet Ginecol. 1994;59(1):27-31.

PMID:7809428
Abstract

The purpose of this prospective study was to ascertain the simplicity, safety and effectiveness of the Parkland technique for puerperal tubal sterilization by minilaparotomy in 315 consecutive patients who underwent this procedure. Overall were healthy women sterilized for contraceptive reasons, for potential obstetrical high risk: great multiparity and/or reiterative cesarean section. The patients' mean age was 32.5 years (range, 23-39) and the mean parity 4.0 (range, 3-7). In 6 cases (1.9%) light intraoperative mesosalpinx bleeding was easily controlled. No other complaints in connection with the procedure was noted. There was not cases of failed sterilization: 0.0% of pregnancy rate after the procedure, with a mean follow-up period of 36 months (range, 12-60). From this study it appears that the Parkland technique is a very simple, safe and effective procedure for postpartum sterilization.

摘要

本前瞻性研究的目的是确定在315例连续接受经腹小切口绝育术的产妇中,Parkland技术用于产后输卵管绝育的简易性、安全性和有效性。总体而言,这些健康女性因避孕原因以及潜在的产科高风险因素(多产和/或多次剖宫产)而接受绝育。患者的平均年龄为32.5岁(范围23 - 39岁),平均产次为4.0次(范围3 - 7次)。6例(1.9%)术中输卵管系膜轻度出血易于控制。未观察到与该手术相关的其他问题。没有绝育失败的病例:术后妊娠率为0.0%,平均随访期为36个月(范围12 - 60个月)。从本研究看来,Parkland技术是一种非常简易、安全且有效的产后绝育方法。

相似文献

1
[Postpartum tubal sterilization with the Parkland technique].[采用帕克兰技术的产后输卵管绝育术]
Rev Chil Obstet Ginecol. 1994;59(1):27-31.
2
Postpartum tubal sterilization. A comparative study of the Hulka clip and modified Pomeroy technique.产后输卵管绝育术。Hulka夹与改良Pomeroy技术的比较研究。
J Reprod Med. 1991 Oct;36(10):703-6.
3
[Bilateral tubal occlusion by postpartum mini-laparotomy under local anesthesia and sedation].[局部麻醉和镇静下经产后小切口腹腔镜双侧输卵管闭塞术]
Ginecol Obstet Mex. 1993 Oct;61:295-8.
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[Rendering follicle tubes permeable again after post-partum sterilization. A report on 25 cases. Should post-partum sterilization be performed or not?].[产后绝育后使滤泡管再次通透。25例报告。产后是否应进行绝育?]
Contracept Fertil Sex (Paris). 1986 Jul-Aug;14(7-8):675-81.
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[Female sterilization by laparoscopy during uperperium and in the interval].[产褥期及非孕期腹腔镜绝育术]
Rev Colomb Obstet Ginecol. 1976 Jan-Feb;27(1):17-25.
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[Laparoscopy in the puerperium].[产褥期腹腔镜检查]
Ginecol Obstet Mex. 1983 Nov;51(319):301-6.
7
The risk of ectopic pregnancy after tubal sterilization. U.S. Collaborative Review of Sterilization Working Group.输卵管绝育术后异位妊娠的风险。美国绝育协作审查工作组。
N Engl J Med. 1997 Mar 13;336(11):762-7. doi: 10.1056/NEJM199703133361104.
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Pomeroy technique or Filshie clips for postpartum sterilisation? Retrospective study on comparison between Pomeroy procedure and Filshie clips for a tubal occlusion at the time of Caesarean section.Pomeroy 技术或 Filshie 夹用于产后绝育?剖宫产时行 Pomeroy 术与 Filshie 夹输卵管绝育的回顾性比较研究。
Arch Gynecol Obstet. 2010 Jun;281(6):1073-5. doi: 10.1007/s00404-009-1314-7. Epub 2009 Dec 11.
9
Voluntary female sterilisation via minilaparotomy: report from Burkina Faso.经小切口剖腹术进行的女性自愿绝育:布基纳法索的报告。
East Afr Med J. 1997 Feb;74(2):100-2.
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