腹腔镜输卵管绝育术685例临床分析

目的探讨腹腔镜输卵管绝育术的可行性、安全性与临床价值。方法回顾性分析685例于2005年1月～2008年12月在曲阜市中医医院接受腹腔镜输卵管绝育术患者的临床资料。结果患者手术时间（8.1±2.3）min,出血量（7.6±3.2）ml,术中失败率为0.4%,脏器损伤率为0.6%;术后切口感染率为0.3%,切口疼痛率为5%,慢性盆腔痛占1.3%,术后失败率（再次妊娠率）为0.4%;二次剖宫产者与其他受术者相比,手术时间延长,出血量增多,差异具有统计学意义（P〈0.05）。685例中发现合并症70例（10.2%）。结论腹腔镜输卵管绝育术手术切口小、手术时间短、康复快、并发症少,可同时诊治疾病,在门诊施术,不需住院,是一种安全、有效、微创的绝育方法。尤其对有盆腹腔手术史者同样安全、有效。

Clinical analysis of 685 cases performed laparoscopic tubal sterilization

Objective To investigate the safety and clinical value of laparoscopic tubal sterilization.Methods A total of 685 cases from Jan.2005 to Dec.2008 were recruited.Results The mean operating time was(8.1±2.3) min and blood loss was(7.6 ± 3.2) ml.Rate of organ damage,postoperative wound pain and chronic pelvic pain was 0.6%,5% and 1.3% respectively,and the failure rate was 0.4%.Cases got second cesarean section showed longer operation time and more blood loss compared with other cases(P<0.05).70 cases(10.2%) with concurrent disease were found.Conclusion laparoscopic tubal sterilization is safe,effective,and valuable especially for these cases with previous surgery.