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目的:探讨输卵管结扎术中腹腔取出异位节育环的临床治疗方法。方法选取2009年4月-2010年5月我站接收的24例宫内节育器异位的患者,将其分为腹腔镜组和开腹组,每组各12例。腹腔镜组采用经腹腔镜取出异位节育环的方法,开腹组采用经开腹取出异位节育环的方法,对比分析两组的治疗效果。结果所有病例均顺利取出IUD,通过对比分析显示,腹腔镜组在手术时间、手术出血量、术后肛门排气时间以及术后住院时间明显优于开腹组,两组之间差异具有统计学意义(P<0.05)结论采用腹腔镜取器法取出异位节育环,具有创伤小、恢复快、并发症少等优点,同时防止宫内节育器发生异位,必须加强对医务人员的技术培训,患者一旦发现不良反应及时进行处理,减少并发症的发生。
Objective: To investigate the clinical treatment of tubal ligation in the removal of ectopic pregnancy ring. Methods From April 2009 to May 2010, 24 patients with ectopic endometriosis received by our station were divided into laparoscopic group and open group, 12 cases in each group. Laparoscopic group using laparoscopic removal of ectopic birth control ring method, laparotomy group using the method of removal of ectopic birth control ring, comparative analysis of the two groups of treatment. Results All cases were successfully removed IUD, comparative analysis showed that the laparoscopic group in the operation time, the amount of surgical bleeding, postoperative anal exhaust time and postoperative hospital stay was significantly better than the open group, the difference between the two groups with statistics Significance (P <0.05) Conclusions Laparoscopic removal of ectopic contraceptive ring with small trauma, rapid recovery, fewer complications, and prevent the occurrence of ectopic IUD, we must strengthen the technical training of medical staff Once the patient found that adverse reactions in a timely manner to reduce the incidence of complications.