输卵管结扎术2017例临床分析.DOCVIP

临床医学论文-输卵管结扎术2017例临床分析 ??????? 作者：马万堂，赵卫体，郑淑萍，闫兴福，董永红 ?? 【摘要】? 目的? 探讨如何做好输卵管绝育术，以降低失败率及预防并发症的发生。方法? 收集2000～2004年输卵管结扎术2017例，分析手术时期、妇科炎症、结扎部位、手术方式与失败率的关系及并发症的发生情况。结果? 月经后手术失败率低于哺乳期（P0.05）；无妇科炎症优于有炎症期（P0.05）；峡部结扎失败率低于壶腹部（P0.05）；抽芯包埋法手术优于双折压挫结扎切除法（P0.01）；手术并发症14例，均与术前检查、术中操作、术后护理不细致有关。结论? 输卵管结扎术要严把“三关”：术前检查关、手术操作关和术后护理及随访关，以减少手术失败及并发症的发生。 【关键词】? 输卵管；结扎术；失败率；并发症?? 　　A clinical analysis of 2017 cases of ligation of oviduct 　　【Abstract】? Objective? To study the ligation operation of oviduct,and lower the occurrence that fail to the rate and prevention complications.Methods? Collected 2017 cases of ligation of oviduct between 2000 and 2004,analyze surgical of period, gynecological inflammation,tubal ligation part,surgical operation method and failing rates and complication.Results? The failure rate in menstrual period was lower than that in breast feed(P0.05）.The gynecology has no inflammation to surpass the inflammation(P0.05).The tubal ligation failure rate on a film length was lower than that on a belly(P0.05).Release the core to wrap up and bury the law operation pair was better than ligature excise law to keep to roll over(P0.01).There were 14 surgical operation complications,which were all have something to do with the checking before operation,the operating and the nursing not meticulously after operation.Conclusion?The ligation of oviduct should be strict to 揟hree?Checking pass before operation,surgical operation pass,nursing after operation and with visit pass,reduce surgical operation failure rate and the occurrence of complications. 　　【Key words】? fallopian tube;ligation oviduct;failure rate;complications ??? 输卵管结扎术是一种安全、可靠的永久性控制生育的方法，具有手术操作简单、易掌握、有效率高、失败率低等特点。但手术要求严格无菌操作，操作过程力求稳、准、轻、巧、细的原则，任何环节的失误将导致失败和并发症的发生，给受术者带来不必要的痛苦。本中心自2000年1月～2004年10月共进行输卵管结扎术2017例，现总结如下。 　　1? 资料与方法 　　1.1? 一般资料? 2000年1月～2004年10月，共2017例育龄妇女在本中心行输卵管结扎术，其中2000年施术135例（占6.69%），2001年504例（24.99%），2002年331例（16.41%），2003年519例（25.73%），2004年528例（26.18%）。受术者年龄为20～43岁，24～32岁最多，占71.29%。受术者产次：一胎