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目的:探讨高危因素对经腹输卵管结扎术的影响,提高手术成功率及安全性。方法:对202例行输卵管结扎术病例进行回顾性对照分析,分为无高危因素组90例,高危因素组112例,高危因素包括:有下腹部手术史42例、多次流产史(≥3次)28例、哺乳期39例、高龄(≥40岁)24例。结果:在高危因素组中有下腹部手术史者、多次流产史、高龄术中发生粘连情况明显多于无高危因素(P<0.05),手术时间明显长于无高危组(P<0.05),有5例因粘连严重致一侧结扎失败。哺乳期无明显影响。结论:有下腹部手术史、多次人流史、高龄对行输卵管结扎术成败有较大影响。
Objective: To explore the impact of risk factors on the transabdominal tubal ligation, improve the success rate and safety of surgery. Methods: A total of 202 cases of tubal ligation were retrospectively analyzed. There were 90 cases without risk factors and 112 cases with high risk factors. The risk factors included 42 cases with history of lower abdomen surgery, multiple abortion history (≥3 28 cases, lactation 39 cases, old (≥ 40 years old) in 24 cases. Results: There was a history of lower abdomen surgery and multiple miscarriage history in the risk factors group. The incidence of adhesions in elderly patients was significantly higher than that in patients without risk factors (P <0.05), and the operation time was significantly longer than that of no risk patients (P <0.05) 5 cases of serious side due to adhesions ligation failure. Lactation no significant effect. Conclusion: There is a history of lower abdominal surgery, multiple abortion history, and advanced age have a greater impact on the success or failure of tubal ligation.