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目的探讨进行过双侧输卵管结扎手术的女性再孕问题并加以分析。方法选取2010年1月-6月间进行剖宫产的同时对输卵管进行结扎手术后再孕的女性共12例,并对她们实行二次输卵管结扎手术,对造成再孕情况进行分析。结果有4例为新生管腔形成,有4例为新生伞形成,有3例为输卵管腹腔瘘形成,有1例漏扎。女性再通部位在壶腹部的有8例,有2例为伞端者。结论引起再孕的主要因素可以归咎为结扎部位和手术方法不当所造成,在剖宫产手术当中进行结扎术需要理清解剖结构,选择峡部进行抽芯包埋结扎法是值得被推广使用的。
Objective To investigate and analyze the problem of female pregnancy after bilateral tubal ligation. Methods A total of 12 women who relapsed after tubal cesarean section were performed between January 2010 and June 2010 were enrolled in this study. Secondary oviduct ligation was performed on them, and the situation of pregnancy caused by pregnancy was analyzed. Results of 4 cases of neonatal lumen formation, 4 cases of new umbrella formation, 3 cases of tubal fistula formation, 1 case of leakage. Female recanalization site in the ampulla of 8 cases, 2 cases for the umbrella side. Conclusion The main causes of pregnancy may be ascribed to improper ligation and surgical procedures. It is necessary to clarify the anatomy in the cesarean section during ligation of the cesarean section. It is worth to be popularized to choose the isthmus embolization ligation method.