Wilson E W
Int J Gynaecol Obstet. 1995 Dec;51 Suppl 1:S3-13.
Methods for the sterilization of women by occlusion of the Fallopian tubes have evolved by changes in the approaches to the tubes and trials of various methods for occluding the tubal lumen. Approaches to the tube have included: the anterior abdominal wall routes by laparotomy, minilaparotomy and laparoscopy; a vaginal approach through the posterior vaginal fornix; and transcervical approaches, either blind, or via the hysteroscope. Methods for obtaining tubal occlusion have included: excision and suture techniques; electrocautery; clips and rings; intratubal occlusive devices and chemicals introduced into the tubal lumen. The development of each of the approaches to the tube and of the methods for obtaining tubal occlusion are discussed.
通过输卵管闭塞对女性进行绝育的方法,随着输卵管处理方式的改变以及各种输卵管管腔闭塞方法的试验而不断演变。处理输卵管的方式包括:经剖腹术、小剖腹术和腹腔镜检查的前腹壁途径;经阴道后穹窿的阴道途径;以及盲视或经宫腔镜的经宫颈途径。实现输卵管闭塞的方法包括:切除和缝合技术;电灼术;夹子和环;输卵管内闭塞装置以及引入输卵管管腔的化学物质。本文将讨论处理输卵管的每种方式以及实现输卵管闭塞的方法的发展情况。