摘要
目的对比腹腔镜复通术、简易复通术对输卵管绝育手术后再通的治疗效果。方法选取2017年1月—2020年6月期间62例行输卵管绝育术后复通患者临床资料进行回顾性分析,以手术方式的不同分为研究组(腹腔镜复通术)31例和对照组(选择简易复通术)31例。观察两组复通情况、临床指标与术后妊娠情况。结果研究组、对照组复通率分别为96.77%、74.19%,比较发现研究组复通率更高,且研究组双侧仍梗阻率低于对照组(P<0.05)。研究组术后首次排气恢复时间、手术时间长于对照组,住院时间短于对照组,且术中出血量少于对照组(P<0.05)。研究组宫内妊娠率高于对照组,稽留流产、不孕率低于对照组(P<0.05),两组宫外孕率不存在显著差异(P>0.05)。结论在输卵管绝育手术患者中实施腹腔镜复通术,虽然手术时间相对较长,但术中出血量少,且复通率与术后宫内妊娠率相对高于简易复通术。
Objective To compare the therapeutic effects of laparoscopic recanalization and simple recanalization on recanalization after tubal sterilization.Methods The clinical data of 62 patients who underwent recanalization surgery after tubal sterilization from January 2017 to June 2020 were retrieved for a retrospective analysis.According to the surgical methods,31 patients who received simple recanalization were included in the control group,and the other 31 patients who underwent laparoscopic recanalization were included in the study group.Recanalization,clinical indicators,and postoperative pregnancy were observed of the two groups.Results The recanalization rate of the study group(96.77%)was higher than that in the control group(74.19%),and the bilateral obstruction rate of the study group was lower than that of the control group(P<0.05).The study group’s first postoperative exhaust recovery time and operation time were longer than the control group’s,and hospital stay was shorter and intraoperative blood loss was less(P<0.05).The intrauterine pregnancy rate in the study group was higher than that in the control group,and the missed abortion and infertility rates were lower(P<0.05).There was no significant difference in the ectopic pregnancy rate between the two groups(P>0.05).Conclusion Laparoscopic recanalization performed in patients undergoing tubal sterilization can result in longer operation time,but less intraoperative blood loss and higher recanalization rate and postoperative intrauterine pregnancy rate than simple recanalization.
作者
付一元
黄峥
王一斌
黄洁贞
李秋芬
FU Yiyuan;HUANG Zheng;WANG Yibin;HUANG Jiezhen;LI Qiufen(Department of Gynecology,Guangzhou Women and Children’s Medical Center,Guangzhou 510623,Guangdong,China)
出处
《外科研究与新技术》
2021年第1期49-51,56,共4页
Surgical Research and New Technique
关键词
腹腔镜复通术
简易复通术
输卵管绝育手术
复通
Laparoscopic recanalization
Simple recanalization
Tubal sterilization
Recanalization
