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本文重点分析了1978~1983年的8766例输卵管结扎回顾性流行病学调查资料。用生命表法统计,其累计再孕率第一年为0.40/100妇女;第六年为1.07/100妇女。并发症的发生率为2.66%,其中以“感染”居首位。根据多元逐步判别分析和单因素分析的结果表明:影响手术效果的因素主要是结扎术式和施术医疗单位,麦氏法结扎的再孕率明显高于潘氏法、潘氏改良法及抽心包埋法;县以下医院结扎的再孕率明显高于县以上医院。调查结果表明:输卵管结扎是安全、可靠的永久性节育措施。
This article focuses on the analysis of 8766 cases of tubal ligation retrospective epidemiological survey data from 1978 to 1983. Statistics using the life table method, the cumulative first-year recurrence rate of 0.40 / 100 women; the sixth year of 1.07 / 100 women. The incidence of complications was 2.66%, of which “infection” ranks first. According to multivariate stepwise discriminant analysis and univariate analysis, the results showed that the main factors influencing the surgical effect were ligation and surgical medical units. The pregnancy rate of Maxwell’s ligation was significantly higher than that of Pan’s, Pan’s and Lu Heart embedding method; the following pregnancy rate of ligation in hospitals below the county was significantly higher than that of hospitals above county level. The survey results show that tubal ligation is a safe and reliable permanent birth control measure.