中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
28期
28-29,30
,共3页
腹腔镜电凝结扎术%开腹结扎术
腹腔鏡電凝結扎術%開腹結扎術
복강경전응결찰술%개복결찰술
Laparoscopic electrocoagulation ligation%Open ligation
目的：探讨腹腔镜电凝输卵管结扎术与开腹输卵管结扎术的临床效果与安全性。方法：选取本院2011年行输卵管结扎绝育手术的患者64例，根据治疗方法的不同随机平均分为两组，分别行腹腔镜输卵管电凝与开腹输卵管结扎手术，统计两组患者的手术情况与随访结果。结果：腹腔镜组患者手术时间、术中出血量、术后镇痛药物使用、术后发热以及住院时间均优于开腹组（P<0.05），术后随访（14.8±6.9）个月，腹腔镜组的切口疼痛、切口感染、慢性盆腔痛发生率、手术失败率均明显低于开腹组，比较差异均有统计学意义（P<0.05）。结论：腹腔镜输卵管电凝结扎绝育手术具有手术创伤小、恢复时间短、并发症较少且绝育效果显著提高的优点，适合在计划生育手术中推广应用。
目的：探討腹腔鏡電凝輸卵管結扎術與開腹輸卵管結扎術的臨床效果與安全性。方法：選取本院2011年行輸卵管結扎絕育手術的患者64例，根據治療方法的不同隨機平均分為兩組，分彆行腹腔鏡輸卵管電凝與開腹輸卵管結扎手術，統計兩組患者的手術情況與隨訪結果。結果：腹腔鏡組患者手術時間、術中齣血量、術後鎮痛藥物使用、術後髮熱以及住院時間均優于開腹組（P<0.05），術後隨訪（14.8±6.9）箇月，腹腔鏡組的切口疼痛、切口感染、慢性盆腔痛髮生率、手術失敗率均明顯低于開腹組，比較差異均有統計學意義（P<0.05）。結論：腹腔鏡輸卵管電凝結扎絕育手術具有手術創傷小、恢複時間短、併髮癥較少且絕育效果顯著提高的優點，適閤在計劃生育手術中推廣應用。
목적：탐토복강경전응수란관결찰술여개복수란관결찰술적림상효과여안전성。방법：선취본원2011년행수란관결찰절육수술적환자64례，근거치료방법적불동수궤평균분위량조，분별행복강경수란관전응여개복수란관결찰수술，통계량조환자적수술정황여수방결과。결과：복강경조환자수술시간、술중출혈량、술후진통약물사용、술후발열이급주원시간균우우개복조（P<0.05），술후수방（14.8±6.9）개월，복강경조적절구동통、절구감염、만성분강통발생솔、수술실패솔균명현저우개복조，비교차이균유통계학의의（P<0.05）。결론：복강경수란관전응결찰절육수술구유수술창상소、회복시간단、병발증교소차절육효과현저제고적우점，괄합재계화생육수술중추엄응용。
Objective:To observe the clinical effect and safety of laparoscopic electrocoagulation tubal ligation and open tubal ligation.Method:64 patients received tubal ligation in our hospital in 2011 were selected and divided into two groups according to different treatment methods.Two groups received laparoscopic electrocoagulation tubal ligation and open ligation respectively.And the surgical situation and follow-up result of two groups were analyzed.Result:The operation time,bleeding volume in operation,analgesics application after operation,postoperative fever and length of stay of the patients received laparoscopic electrocoagulation ligation were better than those of the patients received open ligation(P<0.05).After following up for (14.8±6.9)months,incision pain,incision infection,the incidence rate of chronic pelvic pain and failure rate of operation of the patients receiving laparoscopic electrocoagulation ligation were lower evidently,there were statistically significant differences(P<0.05).Conclusion:Laparoscopic electrocoagulation tubal ligation has the advantages of small surgical trauma,short recovery time,less complications and evident improvement of sterilisation effect,which is promoted and applied to family planning operation.
