27例输卵管绝育术后重症并发症探讨

A Probe into 27 Cases of Serious Complications Caused by Sterilization

目的 :探讨输卵管绝育术后重症并发症的原因及预防措施。方法 :对经湖北省计划生育委员会鉴定 ,近10余年来送入我院的绝育术后并发症患者 2 7例进行诊断及治疗。结果 :2 7例患者中 ,1例患乙型肝炎转传染科治疗 ,实际治疗 2 6例。伤口感染瘘管 7例 ;大网膜粘连综合征 4例 ;盆腔瘀血综合征 10例 ;慢性盆腔炎 4例 ;心身疾病 1例。结论 :预防输卵管绝育术后并发症 ,应注意绝育时间的选择 ;手术中稳、准、轻巧忌粗暴及违反常规 ,避免术后感染 ;提倡腹式抽心包埋法对输卵管峡部进行结扎 ,以预防盆腔静脉瘀血综合征的发生 ;在寻求管腔粘堵药物的新配方、新技术之前 ,应慎用输卵管粘堵法绝育。

Objective: To probe into the causes and precautionary measures of serious complications after sterilization. Methods: 27 patients, who were admitted into the hospital for suffering from the above mentioned diseases and whose situations had been proved by the Committee for Family Planning of Hubei Province were examined.All these patients except for one who was transferred to Department of Infectious Diseases because of HBV infection were treated. Results:Among these twenty six recipients, Seven were infected on the wound;four suffered from sticky omentum majus syndrome; ten suffered from pelvic venous stasis syndrome; four troubled by chronic pelvic inflammation and one had poor mental health.Conclusion:The authors suggest paying much attention to the following: The time for tubal ligation should be well chosen; The operation must be firm,accurate,gentle and skillful;Meanwhile,roughness is prohibited and regulations for operation should be followed; To avoid pelvic venous stasis syndrome, here burying close beginning is recommended to isthmic portion of oviduct; The knowledge about sterilization should be further popularized so as to release the patients from mental problem; It would be best to be careful about using medicine sterilization before innovation, skill and new formula of the drug are discovered.