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| The clinical comparison study on safety, efficacy and acceptability of two kinds of fallopian tube sterilization operation |
| Guizhou Province Research Institute For Population and Family Planning , Guizhou, 550000 |
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Abstract Though compared the local anesthesia single hole laparoscopic bipolar coagulation tubal sterilization with transabdominal proximal core package fallopian tube buried sterilization, to evaluate safety, effectiveness and acceptability of local anesthesia single hole laparoscopic tubal sterilization, and to explore the influence of these two kinds of fallopian tube sterilization operation on ovarian function shortterm and longterm. Methods: In 14 counties of Guizhou province, 914 patients experienced local anesthesia single hole laparoscopic bipolar coagulation tubal sterilization (in the laparoscopic group)were randomly selected from January 2014 to December 2014, and at the same time, 893 patients experienced transabdominal proximal core tube sterilization bag buried fallopian (in laparotomy group) were also randomly selected. The patients in the two groups were observed and evaluated during operation and at follow up post operation. Some of women in the two groups were given ovarian function assessment by venous blood samples. Results: The amount of bleeding during operation, the rate of complications, and rate of adverse influence on ovarian function at one month post operation of patients in the laparoscopic group were significant lower than those of patients in the laparotomy group (P<0.05). And pain degree during operation, operative time, rate of postoperative pain, postoperative observing time, and rate of satisfaction of patients in the laparoscopic group were significant better than those of patients in the laparotomy group (P<0.05). At one month after operation, though the level of Based sex hormone levels of patients in both group had no significant change, the number of patients with FSH > 10 U/L and FSH/LH over 2 in the laparotomy group was significantly higher than that of patients in the laparoscopic group. Conclusion:Local anesthesia single hole laparoscopic fallopian tube sterilization operation is a safe, effective, simple operation for fallopian tube sterilization, which has the characteristics of less pain, quick recovery, and good acceptability, and it has less adverse influence on ovarian function compared to transabdominal fallopian tube sterilization operation.
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