管束结合绝育作为一种避孕方法仍然有作用吗?
1Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, University of Stellenbosch, Tygerberg Hospital Francie van Zyl Dr, Cape Town, South Africa.
Open access journal of contraception
|June 3, 2024
概括
输卵管绑定正在变得过时. 切除术可以保护卵巢癌,而长效可逆避孕对寻求永久避孕的女性来说更有效,更具成本效益.
科学领域:
- 妇科 妇科医生 妇科
- 生殖健康 生殖健康
- 在瘤学瘤学.
背景情况:
- 输卵管绑定是女性生育控制的长期方法,随着时间的推移,已经看到手术的改进.
- 最近的进展挑战了传统的管管绑定和管切除手术的持续适用性.
研究的目的:
- 评估管绑在女性避孕和癌症预防中的不断变化的作用.
- 为了比较较较新的避孕方法的疗效,成本效益和健康益处,以防止输卵管绑定.
主要方法:
- 关于减小卵巢癌风险的沙切除术现有证据的审查.
- 长效可逆避孕 (LARC) 与输卵管绑定/输卵管切除结果的比较分析.
- 评估与不同绝育方法相关的患者满意度,遗憾和手术风险.
主要成果:
- 与输卵管结合相比,双边切除术提供了对卵巢癌的显著保护.
- 长效可逆避孕,特别是子宫内利沃诺格斯特雷尔装置,显示出卓越的有效性,成本效益和健康益处.
- 在老年妇女中,LARC方法消除了遗憾,逆转手术和手术并发症的风险.
结论:
- 传统的输卵管绑定和输卵管切除正在越来越多地被更有利的替代品所取代.
- 建议进行双边切除术,以预防卵巢癌.
- 长效可逆避孕提供了一种更优越,更安全,更具成本效益的永久避孕方法.
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