Wolf G, Stopfer H, Beck A
Geburtshilfe Frauenheilkd. 1977 Apr;37(4):326-30.
110 tubal sterilizations by Pomeroy's technique were performed in the years 1973--75. 78 cases were examined by hysterosalpingography. In 14 cases the ligature was located close to the intersitial portion of the tube (proximal type), in 52 cases in the isthmic ampullary junction or close to the ampulla (distal type) and in 12 cases on one side proximal type and on the other distal type. In 2 cases of the latter group failure of the ligature was confirmed by contrast medium in the pelvic cavity. The occluded portion of the tube was on the average longer after coeliotomy in comparison with laparotomy. Occluded tubes with smooth distribution of contrast-medium showed good peristaltic activity. Hydrosalpinx never developped, although often reported in the literature. A spill over of contrast-medium into the surrounding tissue was observed only in two cases. This low incidence indicates that the phenomenon is not caused by application of to high pressure.
1973年至1975年期间,采用波默罗伊氏技术进行了110例输卵管绝育术。对78例患者进行了子宫输卵管造影检查。其中,14例结扎部位靠近输卵管间质部(近端型),52例位于峡部壶腹交界处或靠近壶腹部(远端型),12例一侧为近端型,另一侧为远端型。在后一组的2例中,盆腔内造影剂证实结扎失败。与剖腹手术相比,开腹手术后输卵管闭塞部分平均更长。造影剂分布均匀的闭塞输卵管显示出良好的蠕动活性。尽管文献中经常报道,但积水性输卵管炎从未发生。仅在2例中观察到造影剂溢入周围组织。这种低发生率表明该现象不是由高压应用引起的。