超声下双侧输卵管成功放置Essure微栓子的随访

作     者：Veersema S Vleugels M.P.H Timmermans A BrlmannH.A.M. 党慧敏 

作者机构：St. Antonius Hospital Obstetrics and Gynecology Koekoekslaan 1 3430 EM NieuwegeinNetherlands 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第5期

页      码：28-29页

摘      要：To evaluate the reliability of pelvic X- ray and transvaginal ultrasound to localize Essure microinserts (Conceptus,San Carlos, California) after successful place-ment in both fallopian tubes 3 months after placement. Design: Prospective,observational study. Setting: Gynecology departments at two teaching hospitals. Patient(s): One hundred eighty- two patients who underwent hysteroscopic sterilization by placement of Essure microinserts between August 2002 and August 2004. Intervention(s): Transvaginal ultrasound, pelvic X- ray,and hysterosalpingography (HSG) 3 months after sterilizationwith Essure. Main Outcome Measure(s): Transvaginal ultrasound confirmation of correct localization of microinserts after a 3- month follow- up. Result(s): In 150 of 182 patients, confirmation of successful bilateral placement of two microinserts(300 devices) was possible. In 9 patients it was not possible to identify both devices with ultrasound, or there was doubt about the extension of the device through the uterotubal junction. The other 291 devices were identified as being in a good ***(s): Hysterosalpingography at the 3- month follow-up after successful placement of Essure microinserts can be replaced by transvaginal ultrasonography. A 3- month follow-up with HSG after the Essure procedure is only required after unsatisfactory placements. In those patients in whom transvaginal ultrasonography can not confirm satisfactory localization, acomplementary pelvic X- ray should be performed.

主 题 词：微栓子 Essure 侧输卵管 宫腔镜绝育术 子宫输卵管 教学医院 放置位置 孕体 研究设计 前瞻性 

学科分类：1004[医学-公共卫生预防医学类] 100404[100404] 10[医学] 

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