Doh A S, Kamdom-Moyo J, Kouam L
Service gynecologie-obsterique de l'Hopital General Yaounde, Cameroun.
Contracept Fertil Sex. 1996 Jan;24(1):49-51.
The authors report the results of a retrospective study of 253 cases of tubal ligation collected between January 1985 and December 1989 in the maternity unit of the Yaounde Teaching hospital. The tubal ligations were done through minilaparotomy with local anesthesia using the technique of Pomeroy. The frequency of tubal ligation evaluated at 3,8 per cent did not change during the period of this study. The authors note that the majority of patients in this study wished a tubal ligation only when they have 5 or more surviving children. We had no post-operative death, but our complication rate of 1,6 % can be improved upon by paying more attention to operative details. The authors conclude that because of poorly equipped medical infrastructures in the context of developing countries tubal ligation through minilaparotomy should be promoted as a contraceptive method in family planning programs.
作者报告了一项回顾性研究的结果，该研究收集了1985年1月至1989年12月期间在雅温得教学医院妇产科进行的253例输卵管结扎病例。输卵管结扎通过局部麻醉下的小切口剖腹术采用波默罗伊技术完成。在本研究期间，评估的输卵管结扎频率为3.8%，没有变化。作者指出，本研究中的大多数患者只有在有5个或更多存活子女时才希望进行输卵管结扎。我们没有术后死亡病例，但通过更加关注手术细节，我们1.6%的并发症发生率可以得到改善。作者得出结论，由于发展中国家医疗基础设施配备不足，在计划生育项目中应推广通过小切口剖腹术进行输卵管结扎作为一种避孕方法。
