女性绝育术后早期并发症已引起普遍重视,但对其远期后遗症的发生,尤其是月经的改变尚有争论,因而造成预防、诊断及治疗上的困难。本文旨在介绍输卵管绝育术后月经后遗症的发生原因及如何提高手术质量,以减少该类并发症的发生。一、输卵管结扎术后月经改变的情况其发生率由于课题设计及统计方法的差异,各家报道不一,低者5%,高者达51%:Charles报告576例受术者中119例术后月经改变占20.6%;Willams报告为16%,较未手术组高3倍;Pachaur报告20%经量有改变,以增多常见,25%以上经期有改 Early complications of female sterilization have aroused widespread attention, but their long-term consequences of sequelae, especially menstrual changes are still controversial, resulting in prevention, diagnosis and treatment difficulties. This article aims to introduce the causes of menstrual sequelae after tubal sterilization and how to improve the quality of surgery to reduce the occurrence of such complications. First, tubal ligation after the change in the incidence of menstruation Due to the subject of the design and statistical methods, different reports, the lower 5%, the highest up to 51%: Charles reported 576 patients received 119 cases of surgery Postmenopausal changes accounted for 20.6%; Willams reported 16%, three times higher than the non-surgical group; Pachaur 20% reported changes in the amount of change to increase the common, more than 25% of menstrual changes