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本文采用整群抽样、回顾性调查方法对山东省部分地区1980—1990年间输卵管埋线银夹阻断术857例进行调查,并与同地区同期输卵管结扎术进行比较。结果表明:术后第60个月累积成功率银夹组为98.23/每百妇女,结扎组为97.99/每百妇女。术后并发症银夹组为0.92%,其中血肿(0.28%)和感染(0.28%)为近期并发症,低于结扎组。远期井发症中盆腔瘀血症占0.12%,急慢性盆腔炎占0.23%,闭经占0.12%,结扎组远期并发症率为3.15%。结扎组远期并发症发生危险是银夹组的5.09倍(95%CI 1.78—14.95)。对两组远期并发症的影响因素本文也做了分析。调查表明输卵管埋线银夹阻断术效果可靠,稳定且安全,并发症率明显低于结扎组。
In this paper, we use cluster sampling and retrospective survey to investigate 857 cases of tubal-embedded silver clip occlusion in some areas of Shandong Province from 1980 to 1990, and compared with tubal ligation in the same area in the same period. The results showed that the cumulative success rate in the 60th month after operation was 98.23 per 100 women in the silver clip group and 97.99 per 100 women in the ligation group. Postoperative complications of silver clip group was 0.92%, of which hematoma (0.28%) and infection (0.28%) were the most recent complication, lower than the ligation group. Long-term well-occurring pelvic congestion disease accounted for 0.12%, acute and chronic pelvic inflammatory disease accounted for 0.23%, amenorrhea accounted for 0.12%, ligation group long-term complication rate was 3.15%. The risk of long-term complications in the ligation group was 5.09 times (95% CI 1.78 to 14.95) in the silver clip group. This article also analyzes the influencing factors of long-term complications in both groups. Surveys show that the tubal embedding silver clip blocking effect is reliable, stable and safe, the complication rate was significantly lower than the ligation group.