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慧茹 發問時間: 社會與文化語言 · 1 0 年前

子宮外孕英文期刊翻譯緊急

子宮外孕英文期刊的討論麻煩幫我翻一下

In the collaborative report of Peterson et

al. the 10-year cumulative probability of ectopic

pregnancy for all methods of tubal sterilization was

7.3 per 1000 procedures in the United States(1). The

probability of ectopic pregnancy differs according

to the sterilization method, with the rate of

postpartum salpingectomy lowest at 1.5 per 1000

procedure. McCausland reviewed ectopic pregnancy

following laparoscopic tubal coagulation failures,

noting that 12.3% of pregnancies that occurred after

nonlaparoscopic tubal ligation were ectopic, and

compared with 51% after tubal electrocoagulation(4).

The mechanism of true spontaneous sterilization

failure may be recanalization of the fallopian tubes

or fistula formation(5-7). Brenner concluded that

ectopic pregnancy occurs with greater frequency

following sterilization because of the reduced

diameter of the recanalized oviduct post surgery(8).

Thus, sperm can traverse this lumen but subsequent

migration of the much larger fertilized ovum is

blocked. The results of this study indicate that as

tubal occlusion procedures for sterilization are

performed more frequently, their recanalization

will become an increasingly important etiological

factor in ectopic pregnancy. By contrast, however,

DeStefano et al. reported that tubal sterilization did

not contribute to the increasing incidence of ectopic

pregnancy(9). These authors concluded that the risk

for ectopic pregnancy after tubal sterilization was

lower relative to other methods of contraception or

its absence(10,11).

The traditional treatment of ectopic pregnancy

is laparotomy and salpingectomy. Most authors

would agree that if laparoscopy is needed for

diagnosis, a surgical approach is appropriate. For

ruptured ectopic pregnancy, laparotomy is the best

choice for the hemodynamically unstable patient.

1 個解答

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  • 1 0 年前
    最佳解答

    在Peterson和Al合作報告,子宮外孕的10年的累積概率為tubal絕育所有方法是7.3每1000規程在美國(1)。子宮外孕的可能性不同達成協議到絕育方法,與產後輸卵管切除術的降低率在1.5每個1000年做法。McCausland回顧了跟隨laparoscopic tubal凝固失敗的子宮外孕,注意到, 12.3%懷孕發生,在nonlaparoscopic輸卵管結紮是宮外的和比較51%在tubal電凝法之後(4)以後。真實的自發絕育失敗機制也許是輸卵管形成(5-7)的recanalization。 Brenner認為,子宮外孕發生以更加巨大的頻率跟隨的绝育由於減少的直徑recanalized輸卵管崗位手術(8)。因此,精液可能橫斷這流明,但

    更大的被施肥的卵子的隨後遷移被阻攔。 這項研究的結果表明,當tubal鎖柱規程為絕育更加頻繁地執行,他們的recanalization在子宮外孕將成為一個越來越重要病因論因素。相反地,DeStefano等。 報告tubal絕育對子宮外孕沒有貢獻(9)的增長的發生。 這些作者認為,風險為子宮外孕在tubal绝育以後是

    低相對其他方法避孕或它的缺席(10,11)。子宮外孕的傳統治療

    是剖腹術和輸卵管切除術。 多數作者同意,如果腹腔鏡檢查為診斷是需要的,一種外科方法是適當的。 為被爆裂的子宮外孕,剖腹術是最好的選擇對於hemodynamically不穩定的患者。

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