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在美国,腹腔镜绝育同时取出宫内节育器(IUD)未曾报道,术后感染也未作过研究。令人关注的是,当绝育和取IUD同时操作时,可能发生盆腔感染性疾病(PID)。本研究复习了1972年1月～1974年12月在纽约Both Memorial医学中心腹腔镜绝育同时取出IUD49例的结果。49例均为经产妇,其中电凝绝育46例,硅胶环绝育3例。年龄分布26～43岁,由11名妇产科工作者施术。复习住院卡及调查表结果:收到随访资料47例,其中2例发生术后感染,余45例未发生术后并发症或临床感染。失访2例。结果表明:关于IUD合并PID有许多报道,并已确定了两者之间的关系。Beerthuizen报告96名曾用IUD妇女施阴道式绝育检查输卵管病理形
In the United States, laparoscopic sterilization while removing the IUD has not been reported, postoperative infection has not been studied. It is interesting to note that pelvic infectious disease (PID) may occur when both sterilization and taking IUDs are performed simultaneously. This study reviews the results of 49 cases of simultaneous removal of IUD from laparoscopic sterilization at Both Memorial Medical Center in New York from January 1972 to December 1974. 49 cases were by maternal, including 46 cases of electrocoagulation sterilization, silicone ring sterilization in 3 cases. The age distribution of 26 to 43 years old, by the 11 obstetrics and gynecology workers surgery. Review of hospital card and questionnaire results: 47 cases received follow-up information, including 2 cases of postoperative infection, the remaining 45 cases did not occur postoperative complications or clinical infection. Lost in 2 cases. The results show that there are many reports about the IUD merge PID, and the relationship between the two has been established. Beerthuizen reported that 96 women who had vaginal vaginal sterilization with IUD were examined for tubal pathology