输卵管粘堵绝育术插管失败的相关因素分析  

Factors associated with intubation failure in tubal sterilization using phenolatabrine paste

作　　者：王爱月 王萍[2] 

机构地区：[1]平原县计划生育服务站,山东253100 [2]德州市人民医院

出　　处：《中国生育健康杂志》2010年第2期78-79,83,共3页Chinese Journal of Reproductive Health

摘　　要：目的探讨影响输卵管粘堵术插管失败的相关因素,更好地指导和帮助育龄妇女选择适合于自身的绝育方法。方法回顾分析本站7年来完成的输卵管粘堵术3780例,分析其年龄、孕产次、分娩方式、既往盆腹腔病史、手术时间、子宫位置、手术次数等因素与输卵管插管结局之间的关系。结果输卵管插管失败比例为4.9%(185/3780)。第2次输卵管粘堵术插管失败比例明显高于第1次,年龄≥35岁的妇女高于年龄<35岁者,孕产次≥4次者高于孕产次<4次者,有剖宫产史者高于无剖宫产史者,有妇科炎症史及盆腹腔手术史者高于既往身体健康者,产后4～6个月者高于产后7～12个月及非哺乳期月经后者,后倾后屈及前倾前屈位子宫者高于后倾位及水平位子宫者,差异均有统计学意义(P<0.01)。结论选择条件适宜的育龄妇女进行输卵管粘堵术,可有效降低失败比例。Objective To investigate factors associated with the placement of the tube in oviduct- block-up-sterillzation. Methods A total of 3 780 cases of oviduct-block-up sterilization have been per- formed in the past seven years in our department. We retrospectively analyzed factors associated with the fail- ure in the placement of the tube during the procedure, including age, gravidity, parity, mode of delivery, abdominopelvie disease history, operation time choice, uterus position, operation frequency, etc. Results The overall rate of failure was 4. 9 % （ 185/3 780）. Women who had had the operation previously, aged 35 years, had parities of 4 or above, had abdominopelvic surgical h/story, were 4-6 months postpartum versus 7 months or above or non-lactation, and who had a retroflexed or retroverted uterine were more likely experienced a operation failure. Conclusion Operation failure rate could be decreased if the above factors are taken into consideration in choosing women for the operation.

关 键 词：粘堵绝育术 输卵管 非手术绝育 复方苯酚糊剂 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]