输卵管结扎绝育作为一种避孕方法还有用吗?

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY
Open access journal of contraception Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI:10.2147/OAJC.S459623
Norman D Goldstuck
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引用次数: 0

摘要

自十九世纪末以来,输卵管结扎术一直被用于控制妇女的不良生育。多年来,手术技术有了许多改进,手术也变得更加安全。然而,最近的一些发展似乎使这种手术过时了。首先,现在有充分的证据表明,切除输卵管而不是结扎或封闭输卵管可以防止卵巢癌的发生。因此,许多手术方法和闭合方法已不再适用。其次,事实证明,使用长效可逆避孕药在预防未来怀孕方面同样有效,而且比输卵管结扎或输卵管切除术更具成本效益,对健康的益处甚至更大。使用宫内左炔诺孕酮尤其如此。如果进行了输卵管结扎手术,就不会再有后悔和要求进行输卵管结扎复通的问题,也不会再有为体重指数增加和患有并发症的高龄妇女进行手术的顾虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is There Still a Role for Sterilization by Tubal Ligation as a Contraceptive Method?

Tubal ligation has been used since the late nineteenth century to control undesired fertility in women. Over the years, there have been many improvements to the surgical technique, and the procedure has become a lot safer. Some recent developments, however, appear to make this procedure obsolete. In the first instance, there is now ample evidence that removing the Fallopian tubes rather than ligating them or closing them provides protection against developing ovarian carcinoma. The many surgical approaches and closure methods are therefore no longer appropriate. In the second instance, the use of long-acting reversible contraception has been shown to be as effective in preventing future pregnancy, more cost-effective and with even more health benefits than tubal ligation or tubectomy. This is especially true of the use of intrauterine levonorgestrel. The problem of regret and request for tubal ligation reversal, where that was performed, is eliminated as is the surgical concern of operating on older women with increased body mass index and medical co-morbidities.

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