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目的比较输卵管结扎术抽芯近端包埋法与普氏改良法的临床效果差异。方法选取本站收治的146例需行输卵管结扎术的育龄妇女,随机分为对照组和观察组各73例,对照组患者行抽芯近端包埋输卵管结扎术,观察组患者行普氏改良输卵管结扎术。比较两组患者手术时间、术后感染率、并发症发生率、术后妊娠和异位妊娠发生率的差异。结果两组患者术中及术后情况比较:观察组手术时间为(11.72±2.62)min,短于对照组的(16.29±2.75)min,差异有统计学意义(P<0.05);观察组并发症发生率1.4%显著低于对照组11.0%(P<0.05);观察组患者术后感染率1.4%与对照组2.7%比较差异无统计学意义(P>0.05);观察组术后妊娠和异位妊娠发生率分别为16.4%和9.6%,均显著高于对照组的1.4%和0,差异具有统计学意义(P<0.05)。结论输卵管结扎术是一种安全和有效的节育手术,与抽芯近端包埋法相比,普氏改良法可减少手术时间,降低并发症发生率,但具有较高的术后妊娠和异位妊娠发生率,需引起临床重视。
Objective To compare the clinical effects of proximal tubal embolization and Platts modified by tubal ligation. Methods A total of 146 women of childbearing age who underwent tubal ligation were selected and randomly divided into control group and observation group, 73 cases in each group. The control group received proximal tuberosity tubal ligation, Tubal ligation. The operation time, postoperative infection rate, the incidence of complications, the incidence of postoperative pregnancy and ectopic pregnancy were compared between the two groups. Results The intraoperative and postoperative comparisons of the two groups were statistically significant (P <0.05). The operative time in the observation group was (11.72 ± 2.62) min, shorter than that in the control group (16.29 ± 2.75) min, with significant difference 1.4% in the observation group was significantly lower than that in the control group (11.0%, P <0.05). The postoperative infection rate was 1.4% in the observation group and 2.7% in the control group, with no significant difference (P> 0.05) The incidence of ectopic pregnancy was 16.4% and 9.6%, respectively, which were significantly higher than those of the control group (1.4% and 0% respectively) (P <0.05). Conclusions Tubal ligation is a safe and effective method of birth control. Compared with the compression-proximal embedding method, Platts modified method can reduce the operation time and reduce the incidence of complications, but with high postoperative pregnancy and ectopic The incidence of pregnancy, need to cause clinical attention.