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[女性非手术绝育:宫内使用阿的平和倍他米松颗粒。主题综述:实验基础——药理学——毒理学——疗效]

[Female non-surgical sterilization: use of endo-uterine quinacrine and betamethasone pellets. Review of the subject: experimental bases--pharmacology--toxicology--efficacy].

作者信息

Zipper J, Rivera M, Dabancens A

机构信息

Universidad de Chile, Facultad de Medicina Norte, Departamento de Fisiologia y Biofisica, Hôpital Sótero del Rio, Santiago.

出版信息

Rev Fr Gynecol Obstet. 1993 Oct;88(10):485-91.

PMID:8248692
Abstract

Quinacrine produces obstruction of the region of the uterine tube by its fibroblastic granulomatous action. Factors such as the Zn++ and Cu++ content of tubal tissue, as well as the use of anti-prostaglandins, potentialise this action. Two groups of patients were evaluated in this study: Group A--95 women. 180 mg of quinacrine +0.6 mg of betamethasone were inserted into the uterine cavity, on the basis of two insertions separated by a one month interval. Two pregnancies were found by the end of the 2nd year, the percentage failure rate being 2.2 and the Pearl index 0.58. Group B--129 women. 216 mg of quinacrine +1.2 mg of betamethasone were inserted into the uterine cavity, on the basis of two insertions separated by a one month interval. Two pregnancies were found by the end of the 1st year, the percentage failure rate being 0.59 and the Pearl index 0.54. Iatrogenic adverse reactions associated with quinacrine only were not seen in either of these two study groups. None of the pregnancies was ectopic.

摘要

喹吖因通过其成纤维细胞肉芽肿作用导致输卵管区域阻塞。输卵管组织中的锌离子和铜离子含量等因素,以及抗前列腺素的使用,会增强这种作用。本研究评估了两组患者:A组——95名女性。在宫腔内插入180毫克喹吖因+0.6毫克倍他米松,分两次插入,间隔1个月。到第2年末发现2例妊娠,失败率为2.2%,Pearl指数为0.58。B组——129名女性。在宫腔内插入216毫克喹吖因+1.2毫克倍他米松,分两次插入,间隔1个月。到第1年末发现2例妊娠,失败率为0.59%,Pearl指数为0.54。在这两个研究组中均未观察到仅与喹吖因相关的医源性不良反应。所有妊娠均非异位妊娠。

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