CAJ | 학술논문

目的探讨微型腹腔镜器械及普通腹腔镜器械在输卵管绝育复通术应用后的临床效果.方法回顾性分析佛山市南海区人民医院2011年1月至2012年12月间28例绝育术后要求行复通的患者,术中采用微型腹腔镜器械或普通腹腔镜器械进行输卵管吻合,2针缝合肌层,数针缝合浆膜层;测术后输卵管长度,随访1～2年了解妊娠情况.结果 28例手术均成功.术后输卵管平均长度9.72 cm;两者术后1年内宫内妊娠率分别达56.25％、50.00％;正常妊娠率分别达87.5％、83.33％;其中普通腹腔镜器械组发生异位妊娠1例;与普通腹腔镜器械组相比,微型器械组的妊娠率稍高,但差异无统计学意义(P＞0.05).结论微型腹腔镜器械用于榆卵管复通术能达到与显微外科手术相当的术后复孕率.
목적 탐토미형복강경기계급보통복강경기계재수란관절육복통술응용후적림상효과.방법 회고성분석불산시남해구인민의원2011년1월지2012년12월간28례절육술후요구행복통적환자,술중채용미형복강경기계혹보통복강경기계진행수란관문합,2침봉합기층,수침봉합장막층;측술후수란관장도,수방1～2년료해임신정황.결과 28례수술균성공.술후수란관평균장도9.72 cm;량자술후1년내궁내임신솔분별체56.25％、50.00％;정상임신솔분별체87.5％、83.33％;기중보통복강경기계조발생이위임신1례;여보통복강경기계조상비,미형기계조적임신솔초고,단차이무통계학의의(P＞0.05).결론 미형복강경기계용우유란관복통술능체도여현미외과수술상당적술후복잉솔.
Objective To investigate the clinical effects of micro-laparoscopic instruments and general laparoscopic instruments on tubal sterilization recanalization.Methods A retrospective analysis of 28 cases of recanalization after sterilization in our hospital from January 2011 to December 2012 was made,intraoperative miniature laparoscopic instruments or general equipments were used for laparoscopic tubal anastomosis,two stitches muscle,a number of stitches serosa; The postoperative tubal length was measured.Follow-up was 1-2 years to make clear the situation of pregnancy.Results All of the 28 cases were operated successfully.The average length of postoperative tubal was 9.72 cm; the intrauterine pregnancy rate within one year was 56.25％,50.00％,respectively; the normal pregnancy rate reached to 87.5％,83.33％ ; in ordinary laparoscopic instruments group,there was one case of ectopic pregnancy; compared with ordinary laparoscopic instruments,the pregnancy rate in micro-instruments group was slightly higher,but the difference was not statistically significant (P ＞ 0.05).Conclusions Mini-laparoscopic instruments for surgical tubal recanalization can achieve the same postoperative recurrent pregnancy rate as micro-surgery.