门诊中输卵管切除术与电凝术和腹腔镜输卵管结扎术的适用性、安全性和效率
Applicability, Safety, and Efficiency of Salpingectomy versus Electrocoagulation and Laparoscopic Tubal Section in Ambulatory.
机构信息
Serviço de Ginecologia e Obstetrícia, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
Instituto de Investigação em Ciências a Vida e Saúde, Escola de Medicina, Universidade do Minho, Portugal.
出版信息
Rev Bras Ginecol Obstet. 2022 Sep;44(9):866-870. doi: 10.1055/s-0042-1755243. Epub 2022 Aug 29.
OBJECTIVE
Female sterilization is a surgical procedure that aims women to permanently stop the use of conception. The benefits, risks and cost-effectiveness are important issues. The purpose of this study was comparing the applicability, complications and efficacy of salpingectomy versus electrocoagulation and tubal occlusion by laparoscopy in the Ambulatory Surgery Unit.
METHODS
We performed a retrospective and observational study that included women undergoing laparoscopic sterilization procedures at our Ambulatory Surgery Unit, during three years. Statistical analysis was performed using SPSS, applying the Fisher exact test, the Mann-Whitney test, and Linear Regression.
RESULTS
Two hundred and twenty-one laparoscopic surgical procedures were performed, including 79 (35.7%) bilateral total salpingectomies and 142 (64.3%) electrocoagulation and bilateral tubal occlusion procedures. The majority of the procedures were performed by a resident ( = 162; 73.3%), with 40% ( = 33) of salpingectomies. The surgical time, independently the type of surgeon, was significantly shorter in the tubal occlusion (42.2 vs. 52.7 min, < 0.001). Safety and efficacy endpoints were not significantly different between the two groups, with a case of pregnancy in tubal occlusion group.
CONCLUSION
Salpingectomy is a safe and effective alternative comparing with electrocoagulation and tubal occlusion.
目的
女性绝育是一种旨在使女性永久停止怀孕的手术。其益处、风险和成本效益是重要的问题。本研究的目的是比较输卵管切除术与腹腔镜下电凝和输卵管闭塞术在日间手术中的适用性、并发症和疗效。
方法
我们进行了一项回顾性观察研究，纳入了在我们日间手术部接受腹腔镜绝育手术的女性，时间为三年。统计分析采用 SPSS，应用 Fisher 确切检验、Mann-Whitney 检验和线性回归。
结果
共进行了 221 例腹腔镜手术，包括 79 例（35.7%）双侧输卵管全切除术和 142 例（64.3%）电凝和双侧输卵管闭塞术。大多数手术由住院医师（ = 162；73.3%）完成，其中 40%（ = 33）为输卵管切除术。手术时间，独立于手术医生的类型，在输卵管闭塞组明显更短（42.2 分钟对 52.7 分钟， < 0.001）。两组之间的安全性和疗效终点无显著差异，输卵管闭塞组有 1 例妊娠。
结论
输卵管切除术与电凝和输卵管闭塞术相比是一种安全有效的替代方法。
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