输卵管结扎失败23例情况分析

Analysis of 23 cases of pregnancy after tubar sterilization

目的探讨输卵管结扎失败的原因,及其与手术方式与时机选择等问题的关系。方法回顾性分析我站1992～2001年23例结扎失败再孕要求做第二次结扎手术的妇女。结果我站主要采用潘氏改良法、潘氏法、银夹法及抽芯包埋法四种,各种方法失败例数分别为14、6、3、0。23例46条输卵管中,单纯结扎或折叠结扎无切断23条,折叠结扎加切断9条,输卵管保持完整无任何结扎痕迹6条;39条做通水试验,结果有31条输卵管通水顺利。结论减低手术失败率应从提高技术人员的业务水平着手,其次是术式和手术时期的选择。

Objectives To detected the cause of pregnancy after tubar sterilization and it'srelationship with operational methods and occasio. Methods Twenty-eight cases of of pregnancy aftertubar sterilization were retrospectively analyzed in my hospital in 1992～2001. Results Four methodswere employed in my hospital, the cases of pregnancy after tubar sterilization in different way wererespectively 14、6、3 and 0.In all 46 stripes of uterine tube, 23 were not been cut off, 9 were cutoff and 6were no marks. Transcerivical catheterization of fallopian tubes were used in 39 stripes offallopian tubes,31 stripes of fallopian tubes were un-obstructed.Conclusions To reduce the rate ofpregnancy after tubar sterilization, the most important is improvement of personnel ability, second areselects of operational methods and occasio.