Pedersen T K, Blaakaer J
Ugeskr Laeger. 1995 Nov 27;157(48):6705-7.
The objective of this analysis was to assess the failure rate and incidence of regret of tubal sterilization performed by the endocoagulation technique. The design was a register-based retrospective study. A total of 585 sterilizations were performed from January 1986 to December 1992 in the county hospital of Sønderborg. The patients who had undergone sterilization were identified by diagnosis from the database of "Kommune-data". Forty patients were excluded due to different reasons. The frequency of hospitalization from the operation to July 94 was registered. The actual case records were examined. The failure rate following endocoagulation was 0.92% (one intrauterine and four extrauterine pregnancies) corresponding to an incidence of 1.77/1000 women/year. Two women (0.37%) developed hydrosalpinx after the operation. Ten patients (1.8%) wanted a reversal of sterilization. It was concluded, that tubal sterilization by the endocoagulation method is cheap and safe. The failure rate is similar to that of other methods. Implantation in the peritoneal space is avoided. Thermic destruction is minimized, and the risk of peroperative burning of the tissue is therefore reduced.
本分析的目的是评估采用内凝技术进行输卵管绝育术的失败率和后悔发生率。研究设计为基于登记的回顾性研究。1986年1月至1992年12月期间，在桑德堡县医院共进行了585例绝育手术。通过“市政数据”数据库中的诊断确定接受绝育手术的患者。40例患者因不同原因被排除。记录了从手术到1994年7月9日的住院频率，并检查了实际病例记录。内凝术后的失败率为0.92%（1例宫内妊娠和4例宫外妊娠），相当于每年每1000名女性中有1.77例。两名女性（0.37%）术后发生输卵管积水。10例患者（1.8%）希望恢复输卵管通畅。得出的结论是，内凝法输卵管绝育术价格低廉且安全。其失败率与其他方法相似。避免了在腹腔内着床。热损伤降至最低，因此降低了手术中组织灼伤的风险。
