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AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY 1975年第2期121卷 153-158页

作者： UCHIDA, H UCHIDA HOSP DEPT OBSTET & GYNECOL7-30 KENROKU-MOTOMACHIKANAZAWA 920ISHIKAWAJAPAN

The methods which seek to close the tubes by tissue necrosis may be responsible for subsequent pathologic disorders. These sequelae often explain postoperative repeat uterine pregnancy, ectopic gestation, and other serious complications. In addition to Uchida sterilization, the Uchida fimbriectomy is recommended for use in the immediate postpartum period and at cesarean section because of its many advantages.

关键词：子宫附件疾病/病因学剖宫产术刮除术腹腔镜检查结扎术产后期妊娠异位妊娠不想要的绝育输卵管/副作用绝育输卵管/仪器和设备绝育输卵管/方法时间因素女(雌)性人类妊娠

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Laparoscopic tubal sterilization - Methods, effectiveness, and sequelae

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OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA 1999年第1期26卷 83-+页

作者： Ryder, RM Vaughan, MC Eastern Virginia Med Sch Div Gynecol Norfolk VA 23507 USA

Worldwide, tubal sterilization is the most commonly chosen form of contraception by women who have completed their desired childbearing. In the United States, it is chosen by more married or formerly married women than any other method. Sterilization has enjoyed increasing popularity since the 1950s, primarily owing to the technologic advances and increasing social acceptance. Improvements in technique and technology have rendered it a safe, effective, and cost-efficient outpatient procedure. This makes tubal sterilization a particularly attractive choice in the managed care setting and in developing countries, where access to medical care occurs most frequently in rural clinic settings.

关键词：健康态度咨询电凝术/仪器和设备妇科学/教育子宫切除术实习医师和住院医师职务腹腔镜检查/副作用腹腔镜检查/方法病人满意度妊娠异位/诊断显像妊娠异位/病因学妊娠异位/预防和控制绝育输卵管/副作用绝育输卵管/仪器和设备绝育输卵管/方法治疗失败超声检查成年人女(雌)性人类妊娠

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ELECTIVE CESAREAN HYSTERECTOMY - 5 YEAR COMPARISON WITH CESAREAN-SECTION

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AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY 1976年第8期124卷 900-911页

作者： BARCLAY, DL HAWKS, BL FRUEH, DM POWER, JD STRUBLE, RH UNIV ARKANSAS MED CTRDEPT OBSTET & GYNECOLLITTLE ROCKAR 72201

Elective cesarean sections performed on the obstetric service at the University of Arkansas Medical Center were reviewed for the period January 1, 1970, through December 31, 1974. The purpose of the review was to compare operative and postoperative complications of cesarean section, cesarean section and tubal ligation, and cesarean section and elective hysterectomy. A total of 1,255 cesarean sections were performed of which 207 (17 per cent) were associated with tubal ligation and 242 (18 per cent) with hysterectomy. Elective cesarean hysterectomies were performed for elective sterilization (68 per cent), for medically indicated sterilizations (11 per cent), or for definitive treatment of uterine pathology (21 per cent). All cesarean sections were obstetrically indicated with the exception of 34 primary cesarean hysterectomies performed as definitive treatment of carcinoma in situ of the cervix. The operative procedures were compared in regard to the following characteristics or complications: operating time; incidence of blood transfusions, urinary tract injuries, postoperative bleeding, febrile morbidity, and other postoperative complications; and postoperative hospital days.

关键词：输血子宫内膜炎/病因学发热/病因学出血/病因学子宫切除术/副作用子宫切除术/方法住院时间产次手术后并发症产前保健绝育输卵管/副作用绝育输卵管/方法时间因素泌尿道感染/病因学青少年成年人儿童女(雌)性人类中年人

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COMPARISON OF CULDOSCOPIC AND LAPAROSCOPIC TUBAL STERILIZATION

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AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY 1976年第6期124卷 601-606页

作者： KOETSAWANG, S BHIRALEUS, P RACHAWAT, D KIRIWAT, O MAHIDOL UNIV DEPT OBSTET & GYNECOL FAMILY PLANNING RES UNIT BANGKOK THAILAND

The growing number of women requesting interval sterilization (apart from term delivery or abortion procedures) necessitates the re-evaluation of traditional surgical procedures. A total of 800 women, the 1st 400 women undergoing culdoscopic and laparoscopic tubal sterilization procedures at Siriraj Hospital in Bangkok, Thailand, evaluate the appropriateness of the 2 sterilization procedures for use in interval sterilization programs. No serious operative complications occurred in either group. The rate of postoperative complications was considerably higher for the culdoscopic group than for the laparoscopic group. Hospitalization was required for only a small percentage of the patients and most had resumed their normal activities within 2 days of the operation. Both procedures are effective and may be safely performed on an outpaitent basis without general anesthetics and with minimal discomfort for the patients.

关键词：后陷凹镜检查腹腔镜检查绝育输卵管/副作用绝育输卵管/方法女(雌)性人类妊娠

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STERILIZATION - TUBAL APPROACH OR HYSTERECTOMY

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AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY 1975年第1期15卷 36-39页

作者： PATERSON, PJ MONASH UNIV QUEEN VICTORIA HOSPDEPT OBSTET & GYNAECOLMELBOURNEAUSTRALIA

A comparison is made of the advantages and disadvantages of tubal surgery or hysterectomy for female sterilization purposes. The former is usually the more desirable but, because 15 to 20% of women ultimately require hysterectomy, criteria are described whereby this group can be identified and the operation carried out as a first choice.

关键词：评价研究(主题) 子宫切除术子宫切除术阴道式/副作用年患病率绝育输卵管/副作用女(雌)性人类

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REPEAT ECTOPIC PREGNANCY - STUDY OF 123 CONSECUTIVE CASES

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AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY 1975年第4期122卷 520-524页

作者： HALLATT, JG KAISER FDN HOSP DEPT OBSTET & GYNECOLLOS ANGELESCA 90027 SO CALIF PERMANENTE MED GRP LOS ANGELESCA 90027

In a study of 1,330 ectopic pregnancies, 123 (9 per cent) patients experienced repeat tubal pregnancies. Of these 123 patients with repeat ectopics, 96 (78 per cent) were surgically sterilized with their second operative procedure. The remaining 27 potentially fertile patients have had nine pregnancies, but only three living children. Cornual wedge resection of the uterine tube predisposed to interstitial pregnancy and to rupture of the uterus in four cases. Four patients had three ectopic pregnancies each. Repair of the involved tube is usually technically possible following linear salpingotomy and should be done if future fertility is desired. If the patient does not desire future pregnancy, she should be sterilized to avoid the risk of repeat ectopic pregnancy.