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目的:探讨剖宫产后经腹输卵管绝育术的有效性。方法:分析50例剖宫产半年后经腹输卵管绝育术的已婚育龄妇女术时相关指标及术后第1、3、6、12个月随访情况。结果:48例(96%)经腹输卵管绝育术成功,2例(4%)因皮下组织粘连,出血,未打开腹膜,未进行手术。48例术后无输卵管再通妊娠。40例(80%)术中出血<3ml;6例(12%)于手术开始时2-5s诉下腹疼痛,可忍受,5s后无疼痛感;2例(4%)合并粘连并影响操作,延长手术时间。平均手术时间30min,留观时间1-2h,术后第1、3、6、12个月随访时部分观察对象出现不同程度的腹痛,腰疼,劳动力下降,经对症处理,心理疏导后恢复正常,满意度达98%。结论:剖宫产后经腹输卵管绝育术是一种安全,有效,方便育龄群众易接受的女性绝育方法,这种方法操作简便,具有切口小,组织损伤小,对机体的生理功能无明显影响,直视下施术,适合已生育有足够子女的夫妇选用。
Objective: To investigate the effectiveness of transabdominal tubal sterilization after cesarean section. Methods: 50 cases of cesarean section after cesarean section by transbronchial tubal sterilization of women of childbearing age related indicators and 1, 3, 6, 12 months after follow-up. RESULTS: Forty-eight cases (96%) were successfully treated by transbronchial tubal sterilization. Two cases (4%) had adhesions and hemorrhage due to subcutaneous tissue. The peritoneum was not opened and no operation was performed. 48 cases of tubal recanalization without pregnancy. Bleeding was less than 3ml in 40 cases (80%); 2 cases (12%) had abdominal pain at 2-5s at the beginning of operation, no pain was found after 5s, adhesion was found in 2 cases (4% Prolong the operation time. The average operation time was 30 minutes and the observation time was 1-2 hours. Some patients at the 1st, 3rd, 6th and 12th months after operation showed different degrees of abdominal pain, back pain and labor force, returned to normal after symptomatic treatment and psychological counseling, Satisfaction up to 98%. CONCLUSION: Transabdominal tubal sterilization after cesarean section is a safe and effective method for female sterilization which is easy for women of childbearing age. This method has the advantages of simple operation, small incision, less tissue damage and no significant effect on the physiological function of the body , Under direct vision surgery, suitable for couples who have given birth to have enough children.