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目的评价和分析腹腔镜下输卵管吻合术的临床效果。方法随机选择输卵管绝育术后要求行输卵管吻合术的患者68例,根据手术方式将其分为两组,开腹显微镜下行输卵管吻合术28例作为对照组,完全腹腔镜输卵管吻合术40例作为观察组,对比两组患者的手术各项指标,随访1年,评价临床效果。结果与对照组相比,观察组术中出血量明显降低,住院时间明显缩短,比较差异有统计学意义(P<0.05);对照组复通率和宫内妊娠成功率分别为64.3%和67.9%,观察组为87.5%和82.5%,观察组明显高于对照组,两组比较差异有统计学意义(P<0.05);两组异位妊娠发生率比较差异未见统计学意义(P>0.05)。结论完全腹腔镜输卵管吻合术具有微创、视野广、操作便捷等优势,有助于降低术中出血量,缩短住院时间,促进术后康复,且具有较高的复通率和宫内妊娠成功率,可在临床推广应用。
Objective To evaluate and analyze the clinical effect of laparoscopic tubal anastomosis. Methods A total of 68 patients who underwent tubal anastomosis were selected randomly. According to the operation method, they were divided into two groups. 28 patients underwent open tube oviduct anastomosis as the control group and 40 patients underwent complete laparoscopic tubal anastomosis Group, compared the two groups of patients with surgical indicators, followed up for 1 year, evaluate the clinical effect. Results Compared with the control group, the intraoperative blood loss and the length of hospital stay in the observation group were significantly decreased (P <0.05). The success rates of the regurgitation and intrauterine pregnancy in the control group were 64.3% and 67.9%, respectively %, The observation group was 87.5% and 82.5%, the observation group was significantly higher than the control group, the difference between the two groups was statistically significant (P <0.05); the incidence of ectopic pregnancy was no significant difference between the two groups (P> 0.05). Conclusion Laparoscopic tubal anastomosis has the advantages of minimally invasive, wide field of vision and convenient operation, which will help to reduce the intraoperative blood loss, shorten the hospital stay and promote postoperative recovery, and has a high success rate of intra-uterine pregnancy Rate, can be popularized in the clinical application.