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目的:针对局麻单孔腹腔镜输卵管双极电凝绝育术的有效性、安全性及可接受性观察与探讨。方法:对2012年3月至2014年3月自愿落实女性绝育术的女性1000例采用局麻单孔腹腔镜双极电凝输卵管绝育术,并在术后1,3,6,12个月进行相应的随访工作。结果:988名患者的局麻单孔腹腔镜双极电凝输卵管绝育术手术获得成功且无手术并发症,有1例宫外孕,2例因2次剖宫产腹腔粘连未做,1例气腹,8名轻微的手术并发症,经过术后及时的跟踪调查与处理,手术对象术中反应轻,并无手术失败现象。结论:局麻单孔腹腔镜输卵管双极电凝绝育术是一种安全有效且育龄群众易接受的女性绝育技术。
Objective: To investigate the effectiveness, safety and acceptability of single hole laparoscopic tubal bipolar coagulation in local anesthesia. METHODS: One hundred and seventy women who volunteered for female sterilization between March 2012 and March 2014 were treated with single-hole local anesthesia with laparoscopic bipolar coagulation of the oviduct and were performed at 1, 3, 6 and 12 months after surgery The corresponding follow-up work. Results: One hundred and eighty-eight patients underwent single-port laparoscopic bipolar coagulation and tubal sterilization without surgical complications. One case had ectopic pregnancy, two cases had failed abdominal celiac adhesions by two cesarean sections, one case had pneumoperitoneum , 8 minor surgical complications, after a timely follow-up after the investigation and treatment, the operation object intraoperative response was light, there is no surgical failure. CONCLUSION: The single hole laparoscopic bipolar coagulation and sterilization of local anesthesia is a safe and effective technique for female sterilization.