Webb J C, Bush M R, Wood M D, Park G S
William Beaumont Army Medical Center, Department of Obstetrics and Gynecology, El Paso, Texas, USA.
J Am Assoc Gynecol Laparosc. 1996 May;3(3):419-21. doi: 10.1016/s1074-3804(96)80074-0.
Complications after endometrial ablation are uncommon, and published series show that the majority of women who are treated by this technique remain symptom free in the postoperative period. A 39-year-old woman with previous tubal ligation underwent laparoscopic-assisted vaginal hysterectomy for debilitating pelvic pain 1 year after endometrial ablation. Pathologic assessment of the surgical specimen showed bilateral hematosalpinges from continued cyclic occult bleeding. The symptoms and findings in this case confirm the postablation-tubal sterilization syndrome.
子宫内膜切除术后的并发症并不常见，已发表的系列研究表明，接受该技术治疗的大多数女性在术后仍无症状。一名39岁曾行输卵管结扎术的女性，在子宫内膜切除术后1年因严重盆腔疼痛接受了腹腔镜辅助阴式子宫切除术。手术标本的病理评估显示，由于隐匿性周期性出血持续存在，双侧输卵管积血。该病例中的症状和检查结果证实了消融后输卵管绝育综合征。
