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輸卵管結紮

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輸卵管結紮
Tubal ligation / Tubectomy
背景
生育控制種類絕育
初次使用日期1930年
失敗比率 (第一年)
完美使用0.5[1]%
一般使用0.5[1]%
用法
持續期間永久性
可逆性有時可以
注意事項
優點及缺點
是否可以防止性傳播疾病不行
風險手術及手術後的併發症

輸卵管結紮(Tubal ligation或tubectomy),也稱為輸卵管切除術或是女性結紮,是針對女性的两個輸卵管進行的避孕手術,可能是將輸卵管夾緊和阻住,或是破壞輸卵管的一小段並且封合一端(或兩端),手術的目的是為了讓卵巢產生的卵子無法到達子宮着床。輸卵管切除術是生育控制的一種方式,屬於永久式的絕育

醫療用途

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輸卵管結紮是女性的絕育方式之一,讓手術後的女性無法自然懷孕子宮切除術或是卵巢切除術英语oophorectomy也可達到相同效果,但這二個手術的風險比輸卵管結紮要高[2][3]

有時,若患者有會增加卵巢癌或輸卵癌風險的基因,例如BRCA1BRCA2,也會進行此一手術。因為此一手術仍然會有絕育的效果,此手術會優先用在已完成生育的患者,有可能會同時進行卵巢切除術[4]

參考資料

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  1. ^ 1.0 1.1 Trussell, James. Contraceptive efficacy. Hatcher, Robert A.; Trussell, James; Nelson, Anita L.; Cates, Willard Jr.; Kowal, Deborah; Policar, Michael S. (eds.) (编). Contraceptive technology 20th revised. New York: Ardent Media. 2011: 779–863. ISBN 978-1-59708-004-0. ISSN 0091-9721. OCLC 781956734.  Table 26–1 = Table 3–2 Percentage of women experiencing an unintended pregnancy during the first year of typical use and the first year of perfect use of contraception, and the percentage continuing use at the end of the first year. United States.页面存档备份,存于互联网档案馆
  2. ^ Clarke-Pearson, Daniel L.; Geller, Elizabeth J. Complications of Hysterectomy. Obstetrics & Gynecology. March 2013, 121 (3): 654–673. ISSN 0029-7844. PMID 23635631. S2CID 25380233. doi:10.1097/AOG.0b013e3182841594 (英语). 
  3. ^ Shuster, L. T; Gostout, B. S; Grossardt, B. R; Rocca, W. A. Prophylactic oophorectomy in premenopausal women and long-term health. Menopause International. 1 September 2008, 14 (3): 111–116. ISSN 1754-0453. PMC 2585770可免费查阅. PMID 18714076. doi:10.1258/mi.2008.008016 (英语). 
  4. ^ Committee On Practice Bulletins–Gynecology, Committee on Genetics. Practice Bulletin No 182: Hereditary Breast and Ovarian Cancer Syndrome. Obstetrics & Gynecology. 2017, 130 (3): e110–e126. ISSN 0029-7844. PMID 28832484. S2CID 25421501. doi:10.1097/AOG.0000000000002296 (英语). 

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輸卵管結紮
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