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目的:探讨微型腹腔镜器械在绝育后输卵管复通术中应用的临床效果。方法:回顾性分析54例输卵管绝育术后行输卵管复通的患者资料作对比研究。根据术式分为A、B、C组。比较三组手术时间、术中出血量、术后输卵管长度(左侧和右侧)及妊娠率的差异。结果:三组比较,在术中出血量、术后输卵管长度、妊娠率方面,差别均有统计学意义(P<0.05),即A组优于其他两组。A组与B组手术时间比较,差异无统计学意义(P>0.05),但均优于C组。结论:应用微型腹腔镜器械的输卵管复通术妊娠率优于普通腹腔镜手术及传统开腹手术,值得临床推广使用。
Objective: To investigate the clinical effect of mini-laparoscopic instrumentation in tubal recanalization after sterilization. Methods: A retrospective analysis of 54 cases of tubal sterilization after tubal recanalization data for comparative study. According to the surgery is divided into A, B, C group. The operation time, intraoperative blood loss, tubal length (left and right) and pregnancy rate were compared between the three groups. Results: The blood loss, postoperative tubal length and pregnancy rate were significantly different among the three groups (P <0.05), that is, the A group was superior to the other two groups. There was no significant difference in the operation time between group A and group B (P> 0.05), but both were better than group C. Conclusions: The pregnancy rate of tubal recanalization using mini-laparoscopic instruments is better than that of laparoscopic surgery and traditional laparoscopic surgery, which is worthy of clinical promotion.