输卵管结扎的远期手术后遗症,根据不同手术方式,发病率有22～37%。所表现症状有功能性子宫出血、痛经、性交困难和盆腔疼痛等,这一类症状定为输卵管结扎术后综合征(PTLS)。PTLS的病因和病理生理尚不清楚,有人推想可能由卵巢扭曲、卵巢供血受损及输卵管和/或卵巢神经分布改变等所致。作者对PTLS患者作黄体中期内分泌相的测定。选出29例施行Pomeroy法绝育术和1例施行双侧输卵管切除术的患者,大多数为产后绝育。病 Tubal ligation of the long-term surgical sequelae, according to different surgical methods, the incidence of 22 to 37%. Symptoms of functional uterine bleeding, dysmenorrhea, dyspareunia and pelvic pain, etc., this type of symptoms as tubal ligation syndrome (PTLS). The etiology and pathophysiology of PTLS are not yet clear, it was speculated that may be caused by the distortion of the ovary, ovarian blood supply damage and fallopian tubes and / or ovarian nerve distribution changes. The author of PTLS patients with mid-luteal phase of endocrine determination. Twenty-nine patients undergoing Pomeroy sterilization and one patient undergoing bilateral salpingo-oophorectomy were selected, most of whom were postpartum sterilization. disease