Cisse C T, Gomez-Cisse C, Kerby K, Faye E O, Diadhiou F
Clinique Gynécologique et Obstétricale, CHU A Le Dantec, Dakar, Sénégal.
Contracept Fertil Sex. 1998 Mar;26(3):229-33.
Between January 1991 and December 1996, 856 women had a tubal sterilization by minilaparotomy under local anesthesia in obstetric and gynaecologic clinic of University Teaching Hospital of Dakar. Among her 5 became pregnant after 7 to 54 months (mean 19 months). The failure rate is 5.84 per 1,000; all 5 women had intra-uterine pregnancy. The women were age 35-43 years (mean 38 years) and multiparity with 8 children. The main causes of failure was technical error and tubal peritoneal fistula. Favorables factors has been represented by inexperience of surgeons and also per-operations difficulties particularly dues to strucked fallopian tubes. 4 has delivered a healthy child with one by cesarean section, in 3 cases she decided to be sterilized again after delivery.
1991年1月至1996年12月期间,856名女性在达喀尔大学教学医院妇产科门诊接受了局部麻醉下的小切口输卵管绝育术。其中5名女性在术后7至54个月(平均19个月)怀孕。失败率为每1000例中有5.84例;所有5名女性均为宫内妊娠。这些女性年龄在35至43岁之间(平均38岁),多产,育有8个孩子。失败的主要原因是技术失误和输卵管腹膜瘘。促成因素包括外科医生经验不足以及手术困难,特别是由于输卵管粘连。4名女性顺利产下健康婴儿,其中1名通过剖宫产分娩,3名女性在产后决定再次接受绝育手术。