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目的探讨剖宫产后经腹输卵管结扎术中并发症的发生原因及防治措施。方法选取2008年5月至2013年5月我院收治的剖宫产后经腹输卵管结扎术患者400例,对其临床资料进行回顾性分析。结果 400例剖宫产后经腹输卵管结扎术中,输卵管系膜撕裂7例、膀胱损伤3例、肠管损伤2例。输卵管系膜撕裂为主要并发症,其发生率明显高于其他并发症,差异有统计学意义(P<0.05)。结论在进行剖宫产后经腹输卵管结扎术前需要做好充分准备,严格遵守手术适应证和禁忌证,可降低术中并发症的发生率。
Objective To investigate the causes and prevention measures of complications of transabdominal tubal ligation after cesarean section. Methods From May 2008 to May 2013 in our hospital admitted 400 cases of cesarean section after tubal ligation of 400 patients, the clinical data were retrospectively analyzed. Results 400 cases of cesarean section after transabdominal tubal ligation, tubal tear in 7 cases, 3 cases of bladder injury, bowel injury in 2 cases. Tubal tear as the main complication, the incidence was significantly higher than other complications, the difference was statistically significant (P <0.05). Conclusions After cesarean section, transabdominal tubal ligation should be adequately prepared, strict compliance with surgical indications and contraindications can reduce the incidence of intraoperative complications.