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本文报告用硅胶经子宫镜堵塞输卵管施行绝育术。1年多共作135例,除2例要求全麻外,余均用1%利多卡因加1∶100,000肾上腺素作子宫颈周围阻滞麻醉。宫腔内灌注右旋糖酐葡萄糖溶液以扩张子宫。有6例静脉注射杜冷丁25mg,1/4的患者静注安定5 mg,效果均很好。手术后均作X光透视以判断堵塞是否满意。然后继续避孕3个月经周期,再用Salpix(子宫输卵管造影剂)在200mmHg压力下作子宫输卵管造影。如果堵塞物保留很好,病人便停止避孕,并随诊6个月。结果显示双侧手术成功者99例,仅1例堵塞物异常的病人怀孕。10例系自然或其他原因造成堵塞,其中单侧和双侧堵塞者各5例。由于解剖原因
This article reports the use of silicone hysteroscopic block tubal sterilization. A total of more than 1 year for 135 cases, with the exception of two cases of general anesthesia, the remaining 1% lidocaine plus 1: 100,000 epinephrine for cervical peripheral anesthesia. Intrauterine perfusion dextran glucose solution to dilate the uterus. There are 6 cases of intravenous injection of pethidine 25mg, 1/4 of intravenous stability and stability of 5 mg, the effect is good. X-ray fluoroscopy after surgery to determine whether the blockage is satisfactory. Then continue contraception 3 menstrual cycle, and then Salpix (hysterosalpingography) at 200mmHg pressure for hysterosalpingography. If the blockage remains well, the patient stops contraception and is followed up for 6 months. The results showed that 99 cases of bilateral surgical success, only 1 patient with abnormal blockage of pregnancy. 10 cases of natural or other causes of congestion, including unilateral and bilateral occlusion in 5 cases. Due to anatomical reasons