输卵管结扎术抽芯近端包埋法与普氏改良法的效果观察

Observation on the Clinical Effect of Core-pulling Proximal Embedding Method and Improvement Method in Tubal Ligation

目的:探讨输卵管结扎术抽芯近端包埋法与普氏改良法的临床效果。方法:将我院行输卵管结扎术的育龄期妇女540例随机分为对照组270例和观察组270例,对照组行常规抽芯近端包埋输卵管结扎术,观察组行普氏改良输卵管结扎术,比较2组的临床效果。结果:观察组手术时间、并发症发生率明显少于对照组,差异有统计学意义(p<0.05),而术后妊娠和异位妊娠的发生率,观察组高于对照组,差异有统计学意义(p<0.05)。结论:输卵管结扎术是一种安全有效的节育手术,普氏改良法的术后妊娠及异位妊娠发生率需引起重视。

Objective： To observe the clinical effect of core - pulling proximal embedding method and improvement method in tubal ligation. Methods： 540 child - bearing age women were selected and divided into two groups. In control group, 270 women were treated by conventional core -pulling proximal embedding tubal ligation. In observation group, 270 women were treated by improvement method. The effects of the two groups were compared. Results ：The operation time and incidence rate of complication of the women in observation group were less than control group （ p 〈 0.05 ）. The incidence rates of postoperation pregnancy and ectopic gestation in observation group were higher than control group （ p 〈 0.05 ）. Conclusion： Tubal ligation is a safe and effective contraceptive operation. The occurrence of postoperation pregnancy and ectopic gestation for the improvement method should be attached.