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作者报告了腹腔镜绝育5,018例的并发症及其治疗。材料与方法:1970年2月至1978年8月共施行腹腔镜绝育5,018例。方法是用两个穿刺孔进行输卵管电凝或同时施行输卵管切除术,间隔1.5～2cm烧灼1～2次。绝育同时行人流者861例,术前午夜起禁食,术前30分钟至1小时服阿托品0.4mg。年龄(19～48)平均31.2岁。产次0～11平均3.2。5,018例中1,019例(20.3%)有腹部手术既往史。结果可见26例由于各种原因未能完成手术,其中当时由于有并发症而需开腹者8例,因粘连不能完成手术者8例,因肥胖5例,心脏传导阻滞2例,腹腔镜有障碍1例,盆腔肿块需开腹者2例。因
The authors report on 5,018 complications and their management of laparoscopic sterilization. Materials and Methods: From February 1970 to August 1978, 5,018 cases of laparoscopic sterilization were performed. The method is to use two puncture holes for tubal electrocoagulation or simultaneous tubal resection, interval 1.5 ~ 2cm cauterization 1 or 2 times. Sterilization at the same time 861 cases of pedestrians, fasting from midnight before surgery, preoperative 30 minutes to 1 hour serving atropine 0.4mg. Age (19 ~ 48) Average 31.2 years old. The average number of deliveries from 0 to 11 was 3.2.5, and 1,019 (20.3%) of 18 patients had a history of abdominal surgery. The results showed that 26 cases due to various reasons failed to complete the operation, which was due to complications and need to open in 8 cases, due to adhesion can not be completed in 8 cases, due to obesity in 5 cases, 2 cases of heart block, laparoscopy 1 case of obstruction, pelvic mass need to open in 2 cases. because