54例女性绝育术后盆腔瘀血综合征手术和药物治疗效果比较  

Comparison of the effect of surgery and drug therapy on pelvic congestion syndrome after tubal sterilization:a report of 54 cases

作　　者：韦成厚 朱国平 

机构地区：[1]广东省计划生育专科医院,广东广州510600

出　　处：《海南医学》2010年第3期21-22,32,共3页Hainan Medical Journal

基　　金：广东省计生委科研项目(编号:2004027)

摘　　要：目的探讨输卵管绝育术后盆腔瘀血综合征(PCS)的有效治疗方法。方法选择输卵管绝育术后PCS 54例,随机分为两组,腹腔镜手术组30例(A组),药物治疗组24例(B组),通过术后随访,对两组治疗效果进行比较。结果A组,治愈率为73.3%(22/30),好转率为20.0%(6/30),无效率为6.7%(2/30),总有效率为93.3%(28/30);B组,治愈率为0,好转率为20.8%(5/24),无效率为79.2%(19/24),总有效率为20.8%(5/24)。两组总有效率比较,差异有统计学意义(P<0.01)。结论电视腹腔镜手术较药物治疗PCS有明显的效果优势,可作为治疗PCS的首先方法。Objective To observe the effect of surgery and drug therapy on pelvic congestion syndrome after tubal sterilization. Methods 54 cases with PCS after tubal sterilization were randomly divided into 2 groups： laparoscopic operation group （30 cases, group A） and medication therapy group （24 cases, group B）. Results The cure rates of group A and B were 73.3% （22/30） and 0, the improvement rates of group A and B were 20.0% （6/30） and 20.8% （5/24）, the inegiciency rates of group A and B were 6.7% （2/30） and 79.2% （ 19/24）, and total effectiveness rates of group A and B were 93.3% （28/30） and 20.8% （5/24） , respectively. There were statistical significance between the total effectiveness rate for group A and B. Conclusion Video laparoscopic surgery with the obvious advant.age is firstly chosen therapy in the treatment of PCS.

关 键 词：绝育 输卵管 盆腔瘀血综合征 治疗 

分 类 号：R169.43[医药卫生—公共卫生与预防医学]