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经宫颈喹吖因绝育术:临床经验

Transcervical quinacrine sterilization: clinical experience.

作者信息

Sokal D C, Zipper J, King T

机构信息

Family Health International, Research Triangle Park, NC, USA.

出版信息

Int J Gynaecol Obstet. 1995 Dec;51 Suppl 1:S57-69. doi: 10.1016/0020-7292(95)90370-4.

DOI:10.1016/0020-7292(95)90370-4
PMID:8904516
Abstract

OBJECTIVE

To review the use of quinacrine pellets for non-surgical female sterilization.

BACKGROUND

The transcervical insertion of quinacrine pellets has been under study for over 15 years. It could potentially expand access to sterilization services, because it is relatively simple to administer, with the use of a modified IUD inserter, and is inexpensive.

METHODS

Published and unpublished data are reviewed.

RESULTS

The short-term safety of transcervical quinacrine appears to be better than surgical sterilization, but it is less effective, especially among women under 35, and there are virtually no data on its reversibility. Thus, it is probably most appropriate for older women, aged 35 and over, but it could be an option for others where access to surgical sterilization is limited.

CONCLUSION

The use of quinacrine pellets for female sterilization needs to be reviewed by appropriate regulatory authorities, especially with regard to long-term safety issues, and additional clinical studies are needed to better define a standardized regimen.

摘要

目的

回顾喹吖因栓用于女性非手术绝育的情况。

背景

经宫颈插入喹吖因栓的研究已开展超过15年。它有可能扩大绝育服务的可及性,因为使用改良的宫内节育器放置器给药相对简单且成本低廉。

方法

对已发表和未发表的数据进行回顾。

结果

经宫颈使用喹吖因的短期安全性似乎优于手术绝育,但效果较差,尤其是在35岁以下女性中,而且几乎没有关于其可逆性的数据。因此,它可能最适合35岁及以上的老年女性,但在手术绝育可及性有限的其他情况下,它也可能是一种选择。

结论

喹吖因栓用于女性绝育需要由适当的监管机构进行审查,特别是关于长期安全性问题,并且需要更多的临床研究来更好地确定标准化方案。

相似文献

1
Transcervical quinacrine sterilization: clinical experience.经宫颈喹吖因绝育术:临床经验
Int J Gynaecol Obstet. 1995 Dec;51 Suppl 1:S57-69. doi: 10.1016/0020-7292(95)90370-4.
2
Efficacy and safety of repeated transcervical quinacrine pellet insertions for female sterilization.经宫颈重复插入喹吖因栓进行女性绝育的有效性和安全性。
Fertil Steril. 1993 Feb;59(2):301-4. doi: 10.1016/s0015-0282(16)55711-2.
3
Clinicopathologic study of fallopian tube closure after single transcervical insertion of quinacrine pellets.经宫颈单次植入阿的平栓后输卵管闭合的临床病理研究
Int J Fertil Menopausal Stud. 1995 Jan-Feb;40(1):47-54.
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Quinacrine sterilization: a retrospective.喹吖因绝育术:一项回顾性研究。
Int J Gynaecol Obstet. 2003 Oct;83 Suppl 2:S7-11.
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Quinacrine: sclerosing agent of the utero-tubal junction in women, with anticarcinogenic actions in transplanted tumors in mice.喹吖因:女性子宫输卵管交界处的硬化剂,对小鼠移植瘤有抗癌作用。
Int J Gynaecol Obstet. 1995 Dec;51 Suppl 1:S47-55. doi: 10.1016/0020-7292(95)90369-0.
6
Studies of quinacrine and of tetracycline for non-surgical female sterilization.关于奎纳克林和四环素用于非手术女性绝育的研究。
Adv Contracept. 1987 Sep;3(3):245-54. doi: 10.1007/BF01849398.
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Update on transcervical sterilization.经宫颈绝育术的最新进展
Int J Gynaecol Obstet. 1995 Dec;51 Suppl 1:S23-8. doi: 10.1016/0020-7292(95)90366-6.
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Transcervical sterilization.经宫颈绝育术
Curr Opin Obstet Gynecol. 2007 Aug;19(4):325-30. doi: 10.1097/GCO.0b013e328216f880.
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Quinacrine hydrochloride pellets: preliminary data on a nonsurgical method of female sterilization.
Int J Gynaecol Obstet. 1980;18(4):275-9. doi: 10.1002/j.1879-3479.1980.tb00496.x.
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Quinacrine sterilization: experience among women at high risk for surgery.喹吖因绝育术:手术高危女性的经验
Adv Contracept. 1999;15(3):175-8. doi: 10.1023/a:1006757914435.

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