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| An compared observation of clinical curative effect between the tubal sterilization operation by signal hole laparoscopic tubal electrocoagulation and by tubal ligation |
| 1. Xiangshan County Family Planning Guidance Station, Zhejiang Province, 315700; 2. Ningbo City Women and Children's Hospital |
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Abstract Objective: To observe the clinical curative effect of tubal sterilization operation between by signal hole laparoscopic tubal electrocoagulation and by tubal ligation. Methods: 400 women who wanted tube sterilization were as the research objects from March 2010 to March 2016, and all the women were divided into control group and research group according to the random number table method (200 cases in each group). The women in control group were accepted tube sterilization by tubal ligation, and the women in study group were accepted signal hole laparoscopic bipolar tubal electrocoagulation. The situation of women in the two groups were recorded, the serum levels of E2, LH and FSH of women before and after operation were measured, and the rate of unwanted pregnancy and the satisfactory 12 months after the operation were followed up. Results: The operations of women in the two groups were all successful. The volume of bleeding, the time of operation and stay in hospital of women in study group were significant lower than those of women in control group (P<0.05). The overall incidence of postoperative adverse reactions of women in study group (12.0%) was significant lower than that of women (21.5%) in control group (P<0.05). There were no significant different in serum E2, LH, FSH and FSH/ LH levels before and after surgery (P>0.05). However, the proportion of women with serum FSH>10 U/L or FSH/LH>2 (9.0% or 26.5%) in study group was significant lower than that of women (17.5% or 37.0%) in control group (P<0.05). In the 12 months after operation, the rate of unwanted pregnancy of women in study group (0.0%) had no statistically different from that (1.0%) of women in control group (P>0.05). The satisfaction rate of women in study group (97.5%) was significant higher than that (92.5%) of women in control group (P<0.05) within 1 months after the operation, and the satisfaction rate of women in both groups increased after 3 months, 6 months and 12 months of operation. Conclusion: The tubal sterilization operation by both laparoscopic electrocoagulation and tubal ligation has high success rate and has high effectiveness of contraception. Compared to that by tubal ligation, the tubal sterilization operation by laparoscopic electrocoagulation has more convenient, less iatrogenic trauma and adverse effect on ovarian function, and postoperative adverse reaction, which can shorter recovery time and improve satisfaction of women.
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