腹腔镜术对女性绝育术后慢性腹痛的临床研究  

Clinic Research on Chronic Abdominal Pain After Female Sterilization by Using Laparoscopy

作　　者：沙玉成[1] 罗永明[1] 虞积恂 张缔华 

机构地区：[1]安徽医科大学第一附属医院妇产科,合肥230022

出　　处：《生殖与避孕》1993年第4期291-296,共6页Reproduction and Contraception

摘　　要：自1986年1月至1990年6月,我院应用腹腔镜检查术对女性绝育术后慢性腹痛进行了临床研究,计349例,其中包含经腹输卵管结扎283例,药物粘堵60例,银夹6例。经腹腔镜检查发现与绝育术有关的各种盆腔病变发生率为78.22%。以各种盆腔粘连、大网膜粘连综合征和盆腔静脉瘀血为最多,粘堵组发生盆腔广泛粘连显著高于手术结扎组(P<0.05),而手术结扎组中大网膜粘连综合征和盆腔静脉瘀血的发生率非常显著高于粘堵组(P<0.05)。在结扎组中以Pomeroy 法和壶腹部结扎易发生盆腔静脉瘀血(P<0.01)。Clinic researches were made on 349 patients with chronic abdominal pain after femalesterilization by using laparoscopy from January,1986 to Jun 1990 in our hospital.In this group,283patients had operative ligation of oviducts through abdomen(81.09%);60 patients had chemicalmucoviscidosis(17.13%)and 6 patients had oviduct silver clip through abdomen(1.72%).Theincidence of various pelvic organ lesions relevant to sterilization were found to be 78.22%,most ofthem had various pelvic organ adhesion;great omentum adhesion syndrome and pelvic venouscongestion.The extensive pelvic organ adhesions in the mucoviscidosis group were higher than that inoperation ligation group(P<0.05),but the greater omentum adhesion syndrome and pelvic venouscongestion in ligation group were or obvious significance(P<0.005).Pomeroy's method and ligationin ampullar region may easily result in pelvic venous congestion(P<0.01).

关 键 词：输卵管绝育 腹痛 腹腔镜术 

分 类 号：R713.54[医药卫生—妇产科学]