Objective:To observe the clinical effect and safety of laparoscopic electrocoagulation tubal ligation and open tubal ligation.Method:64 patients received tubal ligation in our hospital in 2011 were selected and divided into two groups according to different treatment methods.Two groups received laparoscopic electrocoagulation tubal ligation and open ligation respectively.And the surgical situation and follow-up result of two groups were analyzed.Result:The operation time,bleeding volume in operation,analgesics application after operation,postoperative fever and length of stay of the patients received laparoscopic electrocoagulation ligation were better than those of the patients received open ligation(P<0.05).After following up for (14.8±6.9)months,incision pain,incision infection,the incidence rate of chronic pelvic pain and failure rate of operation of the patients receiving laparoscopic electrocoagulation ligation were lower evidently,there were statistically significant differences(P<0.05).Conclusion:Laparoscopic electrocoagulation tubal ligation has the advantages of small surgical trauma,short recovery time,less complications and evident improvement of sterilisation effect,which is promoted and applied to family planning operation.%目的：探讨腹腔镜电凝输卵管结扎术与开腹输卵管结扎术的临床效果与安全性。方法：选取本院2011年行输卵管结扎绝育手术的患者64例，根据治疗方法的不同随机平均分为两组，分别行腹腔镜输卵管电凝与开腹输卵管结扎手术，统计两组患者的手术情况与随访结果。结果：腹腔镜组患者手术时间、术中出血量、术后镇痛药物使用、术后发热以及住院时间均优于开腹组（P<0.05），术后随访（14.8±6.9）个月，腹腔镜组的切口疼痛、切口感染、慢性盆腔痛发生率、手术失败率均明显低于开腹组，比较差异均有统计学意义（P<0.05）。结论：腹腔镜输卵管电凝结扎绝育手术具有手术创伤小、恢复时间短、并发症较少且绝育效果显著提高的优点，适合在计划生育手术中推广应用。
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