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为了解腹腔镜绝育术(简称镜式绝育)的安全性、有效性及可行性,总结本院自1979~1993年14年中所作镜式绝育的病例,以供今后作女性绝育手术之参考。共1806例,分为两组:第一组(农村组)为我们赴农村集中手术,共179例。第一组(城市组)为门诊收住院手术,共1628例。手术全部采用局部麻醉、脐部单切口下手术。镜式绝育方法:硅胶环法1588例,金属夹法126例,双极电凝法15例,单极电凝法77例。对术中反应,术中所见异常情况,术后近期随诊和半年以上为远期随诊等进行了分析。认为除了国内外沿用的腹部小切口绝育方法外,镜式绝育术是一种安全、有效、方便、可行的绝育方法,如果掌握技术操作及仪器性能,在有条件的基层医院可以逐步开展,以方便患者就医。
To understand the safety, effectiveness and feasibility of laparoscopic sterilization, we summarize the cases of mirror sterilization in our hospital from 1979 to 1993 for the purpose of future reference for female sterilization. A total of 1806 cases, divided into two groups: the first group (rural group) for our rural intensive operation, a total of 179 cases. The first group (urban group) received outpatient surgery for outpatient services, a total of 1628 cases. All local anesthesia surgery, umbilical incision under a single operation. Mirror sterilization method: 1588 cases of silicone ring method, metal clip method 126 cases, bipolar coagulation method in 15 cases, monopolar coagulation method in 77 cases. The intraoperative reactions, intraoperative findings, postoperative follow-up and more than six months for long-term follow-up were analyzed. It is considered that in addition to the small abdominal incision sterilization method adopted at home and abroad, the mirror sterilization is a safe, effective, convenient and feasible method of sterilization. If we master the technical operation and the performance of the instrument, we can gradually carry out sterilization in the qualified primary hospitals Convenient for patients to seek medical treatment.