局部麻醉下门诊微型腹腔镜女性绝育术：成本与临床分析
Office microlaparoscopy for female sterilization under local anesthesia. A cost and clinical analysis.
作者信息
Mazdisnian Fariborz, Palmieri Aldo, Hakakha Benjamin, Hakakha Michael, Cambridge Christine, Lauria Beatriz
机构信息
Department of Obstetrics and Gynecology, University of California, Los Angeles School of Medicine, California, USA.
出版信息
J Reprod Med. 2002 Feb;47(2):97-100.
OBJECTIVE
To evaluate the clinical and cost effectiveness of permanent female sterilization using microlaparoscopy and bipolar cauterization. The authors also tested how well the procedure was tolerated when performed under local anesthesia and conscious sedation.
STUDY DESIGN
Patients undergoing microlaparoscopic permanent sterilization were prospectively followed. The rate of procedure completion, patients' pain scores and complication rates were reviewed.
RESULTS
The procedure was completed in 93% of patients (28 of 30). The pain scores decreased substantially within one day after the procedure. The total cost savings for the 29 cases were $16,211. Two patients experienced severe intraoperative discomfort and were rescheduled for endoscopic sterilization under general anesthesia. There were no complications.
CONCLUSION
Permanent female sterilization using microlaparoscopy is cost effective and safe in selected patients, patient exclusion criteria need to be instituted to ensure the safety and success of the procedure.
目的
评估使用微型腹腔镜和双极电凝术进行永久性女性绝育的临床效果和成本效益。作者还测试了在局部麻醉和清醒镇静下进行该手术时患者的耐受程度。
研究设计
对接受微型腹腔镜永久性绝育术的患者进行前瞻性随访。回顾手术完成率、患者疼痛评分和并发症发生率。
结果
93%的患者（30例中的28例）完成了手术。术后一天内疼痛评分大幅下降。29例患者的总成本节省了16,211美元。两名患者术中出现严重不适，重新安排在全身麻醉下进行内镜绝育术。无并发症发生。
结论
对于选定的患者，使用微型腹腔镜进行永久性女性绝育具有成本效益且安全，需要制定患者排除标准以确保手术的安全性和成功率。
Zotero 插件