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输卵管绝育术能否影响卵巢功能,是医患双方最关心的问题,也是目前广大群众在执行计划生育当中的顾虑,关于这一问题文献报告不多。为此,我院对38例输卵管绝育术后有自觉症状的病例进行了随访,并着重检查了他们的内分泌情况,报导如下。材料与方法我院自1947—1962年15年间,共进行输卵管绝育术1741例,信访有回音的共608例。其中38例的自觉症状很多,包括潮红、出汗、失眠、心跳、头痛、头晕、无力及记忆减退等,极似经绝期症候群。为了明确诸症状与手术的关系,故嘱来院复查。目前已完成24例(第一组)。复查内容包括:1.自觉症状,2.体格检查,3.基础体温,4.阴道涂片,5.宫颈粘液结晶,6.宫内膜活检,7.尿中激素测定:部分患者进行了促性腺激素及孕二醇之测定。
Whether tubal sterilization can affect ovarian function is a matter of greatest concern to both doctors and patients and is also a concern of the general public in the implementation of family planning. There are not many reports on this issue. To this end, our hospital on 38 cases of tubal sterilization after the symptoms have been followed up, and focused on checking their endocrine situation, reported as follows. Materials and Methods In our hospital from 1947 to 1962 15 years, a total of 1741 cases of tubal sterilization, a total of letters and echoes were 608 cases. 38 cases of symptoms of many, including flushing, sweating, insomnia, heartbeat, headache, dizziness, weakness and memory loss, like most of the period syndrome. In order to clarify the relationship between the symptoms and surgery, so I asked to hospital review. At present, 24 cases have been completed (the first group). Review the contents include: 1. Symptoms, 2. Physical examination, 3. Basal body temperature, 4. Vaginal smear, 5. Cervical mucus crystals, 6. Endometrial biopsy, 7. Urinary hormone test: Some patients were prompted Determination of gonadal hormones and pregnanediol.