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近年,绝育数字急剧上升,接受绝育术的妇女大多数在多方面是满意的,并认为手术为理想的解决避孕问题的方法。输卵管绝育后发生远期妇科疾患已有少数报道。大多数作者同意月经过多和痛经的发生率增加,但是这些疾患的发生率数字差异是大的。作者对过去7年作过腹腔镜绝育术的409名妇女发出征询意见书,调查这些妇女术前、后的妇科疾患情况,如月经周期、月经过多、子宫出血、痛经、性交痛、腹痛和激素服用等。有347例作了回覆,其中322例适合本文之调查要求,这意味着可用答覆率为78.7%。本组93%的病例为31～45岁,平均年龄37.5岁(范围为24～47岁)。322
In recent years, the number of sterilization has risen sharply. Most women who undergo sterilization are satisfied in many aspects and consider surgery as an ideal solution to the problem of contraception. There have been few reports of long-term gynecological disorders following tubal sterilization. Most authors agree that the incidence of menorrhagia and dysmenorrhea increases, but the number differences in the incidence of these disorders are substantial. The authors issued a consultation paper on 409 women who had undergone laparoscopic sterilization in the past seven years to investigate the pre and post-gynecological conditions of these women such as menstrual cycle, menorrhagia, uterine bleeding, dysmenorrhea, painful intercourse, abdominal pain and Hormone use and so on. A total of 347 replies were received, of which 322 were eligible for the survey in this article, meaning that the available replies were 78.7%. The group of 93% of cases were 31 to 45 years old, with an average age of 37.5 years (range, 24 to 47 years). 322