摘要
目的观察局麻单孔腹腔镜输卵管双极电凝绝育术应用于贵州省部分县级计划生育技术服务机构的有效性、安全性及可接受性。方法募集2011年3月至2012年2月在毕节市8个县级计划生育技术服务机构自愿落实女性绝育术的研究对象2 239例,随机分配为观察组(1 188例)和对照组(1 051例),观察组采用局麻单孔腹腔镜输卵管绝育术,对照组采用传统经腹输卵管近端抽芯包埋法结扎术。两组均行常规观察、术后处理及术后1、3、6、12个月随访。结果术中出现中、重度疼痛:观察组373例(31.40%),对照组462例(43.96%),差异有统计学意义(P<0.05);平均留观时间:观察组为(5.23±0.96)h,对照组(44.83±10.11)h,差异有统计学意义(P<0.001);术后疼痛持续时间:观察组为(50.89±16.16)h,对照组(71.31±16.78)h,差异有统计学意义(P<0.001);观察组术后异位妊娠1例(0.84‰),满意率99.24%,对照组无术后妊娠发生,满意率95.05%,差异有统计学意义(P<0.05)。结论局麻单孔腹腔镜绝育术是一种相对简便、安全有效,且痛苦小、术后恢复快、术后并发症相对较少的避孕方法,值得临床推广应用。
Objective：To investigate the effectiveness,safety and acceptability of tubal sterilization operation with single-port laparoscopy under local anesthesia in women of childbearing age.Methods：A total of 2 239 women who volunteered to receive the female sterilization were recruited in eight county-level technical service centers for family planning from Mar.2011 to Feb.2012.The women were randomly divided into two groups：observation group（n=1 188）with tubal sterilization operation by single port laparoscopy,and control group with traditional laparoscopic tubal proximal core-pulling embedding method（n=1 051）.The women in two groups were performed conventional observation,postoperative treatment,and follow-up at 1,3,6,and 12 months after surgery.Results：The incidence of moderate and heavy pain during operation（31.40% vs.43.96%,P〈0.05）,the observing time in the service centers [（5.23±0.96）hr vs.（44.83±10.11）hr,P〈0.001],the pain lasting time [（50.89±16.18）hr vs.（71.31±16.78）hr,P 0.001]in the observation group were significantly lower than those in the control group.One ectopic pregnancy（0.84‰）was happened and the satisfaction rate was 99.24%in the observation group.No pregnancy was happened after an operation and the satisfaction rate was 95.05%in the observation group.The difference was significant（P〈0.05）in two groups.Conclusions：The tubal sterilization operation with single-port laparoscopy under local anesthesia is a simple,safe and effective contraceptive method,which is worthy for clinical popularization and application.
出处
《生殖医学杂志》
CAS
2015年第5期372-376,共5页
Journal of Reproductive Medicine
基金
贵州省毕节市人口和计划生育委员会专项基金(2011208)
关键词
局麻
单孔腹腔镜
输卵管绝育术
Local anesthesia
Single port laparoscopic
Tubal sterilization operation
