输卵管绝育术后再次妊娠2例并文献复习  

Re-Pregnancy after Tubal Sterilization:Two Cases′ Report and Literature Review

作　　者：刘洪青 冉丽伟 董渠龙 张岩 李旭 史海霞 LIU Hong-qing;RAN Li -wei;DONG Qu -long;ZHANG Yan;LI Xu;SHI Hai -xia(Department of Obstetrics and Gynecology,The Characteristic Medicine Center of the Chinese People′s Armed Forces,Tianjin 300162,China)

机构地区：[1]中国人民武装警察部队特色医学中心妇产科

出　　处：《国际生殖健康／计划生育杂志》2019年第4期293-295,共3页Journal of International Reproductive Health/Family Planning

摘　　要：输卵管绝育术是国际上常用的女性长效避孕手段之一,主要包括输卵管切除术、输卵管阻塞术和输卵管结扎术,这些术式各有特点,可以不同地在腹腔镜手术、宫腔镜手术或者开腹手术中实现。其中输卵管切除术具有输卵管重塑不可逆性,因而避孕效果显著;而输卵管阻塞术和输卵管结扎术两种术式虽然具有输卵管重塑的可逆性,但是存在一定的避孕失败率,其原因目前并不完全清楚,但具有多方面性。现回顾本院2例输卵管绝育术后再次妊娠的病例,并对输卵管绝育术进行简要文献复习,以期引起妇产科医生的重视,准确处置。Tubal sterilization is one of the most commonly used and long-term contraceptive methods for women, including bilateral salpingectomy, tubal occlusion and tubal ligation. These procedures with own characteristics can be implemented in the laparoscopic, hysteroscopic or surgery way. Among these procedures,salpingectomy has the irreversibility of fallopian tube reconstruction with a remarkable contraceptive effect, while tubal occlusion and tubal ligation have the reversibility of fallopian tube reconstruction with a certain rate of contraceptive failure. The etilogical mechanisms of contraceptive failure are In this paper, we report two cases of re-pregnancy after tubal sterilization, and reviewed the tubal sterilization and contraceptive failure. In conclusion,the re-pregnancy after tubal sterilization should be alarmed and treated accurately.

关 键 词：绝育 输卵管 避孕 妊娠 妊娠 异位 病例报告 

分 类 号：R714.2[医药卫生—妇产科学]