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对高原地区1258例绝育术进行随访,随访距结扎时间3个月~14年,结果并发症中以神经症状、感染及月经紊乱居多。各种神经症状152人,占12.08%,各种感染152人,占12.2%,月经紊乱76人,占6.04%。38例慢性下腹痛者行腹腔镜检查,发现盆腔瘀血症占52.7%(20/38),46例宫内孕及12例宫外孕中麦氏结扎法的发生率明显高于波氏法及抽心包埋法(P<0.01)。应加强对计划生育宣传,提高术者技术水平,加强责任心,严格消毒及操作,减少并发症发生。
A total of 1258 cases of sterilization were followed up from 3 months to 14 years after the ligation. The results showed that neurological symptoms, infections and menstrual disorders were the most common complications. A variety of neurological symptoms 152 people, accounting for 12.08%, a variety of infections 152 people, accounting for 12.2%, 76 menstrual disorders, accounting for 6.04%. 38 cases of chronic lower abdominal pain were examined by laparoscopy and found that pelvic congestion disease accounted for 52.7% (20/38), 46 cases of intrauterine pregnancy and 12 cases of ectopic pregnancy Maxwell’s incidence of ligation was significantly higher than the Bourgeois method and Heart block embedding method (P <0.01). Publicity on family planning should be strengthened to improve the technical level of the surgeon, to strengthen the sense of responsibility, strict disinfection and operation, reduce complications.