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目的:评估盆腔手术后经腹行输卵管结扎术难易程度,以提高手术成功率、降低失败率以及减少并发症.方法:对2008年1月至2011年l2月共84例有盆腔手术后经腹行输卵管绝育的诊断和治疗进行回顾性分析.分析手术方式、结扎部位及心理干预对输卵管结扎术的影响.结果:84例盆腔手术后经腹行输卵管结扎术78例.心理干预能降低受术者的焦虑程度(P<0.01)及疼痛程度(P<0.01).结论:根据术前检查正确评估盆腔粘连程度,选择手术方式.输卵管结扎术要全程做好心理干预,严把术前检查、手术操作和术后护理三关.“,”0bjective:To discuss how to improve tubal ligation operation quality,lower failure rate and reduce complieations.Method:Based on 84 tubal ligations cases with pelvic surgery,to analyze the influence of operation method, ligating position and mental intervene for operations.Result:84 cases of pelvic surgery abdominal falopian tube sterilization surgery 78 cases do. Mental intervene can lower the patient anxiety and ache.Conclusion:Preoperative examination right evaluation of the degree of pelvic adhesion, choose operation method. In tubal ligations,mental intervene must be wel used through the whole operation;three aspects must be highly valued,that is,examination before operation,the operation,and postoperative care.