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首页> 外文期刊>European Journal of Obstetrics, Gynecology and Reproductive Biology: An International Journal >Hysteroscopic tubal sterilization with Essure intratubal devices: a case-control prospective with inert local anesthesia or without anesthesia.
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Hysteroscopic tubal sterilization with Essure intratubal devices: a case-control prospective with inert local anesthesia or without anesthesia.

机译：带Essure输卵管内器械的宫腔镜输卵管绝育术：病例对照，采用惰性局麻或无麻醉。

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OBJECTIVE: The contraceptive efficacy of hysteroscopic sterilization is well documented. The objective of this study was to compare procedure success, patient tolerance, and procedure time of Essure micro-insert hysteroscopic sterilization with or without anesthesia. STUDY DESIGN: Between February 2002 and May 2005, one operator performed 140 sterilization procedures in this prospective study: the first 70 were performed using local anesthesia and the following 70 began without administration of anesthesia. Analysis was based on intention-to-treat. RESULTS: The groups were comparable in their demographic characteristics. Successful bilateral micro-insert placement in the first 70 cases, utilizing paracervical block, was 82.8% and did not differ significantly from the next 70 cases, without anesthesia (91.4%). A similar number of patients in each group received additional anesthesia. Report of procedure pain did not differ significantly between the groups: 87.1% reported moderate or less pain with the paracervical block, compared with 91.4% in the group without anesthesia. Duration of surgery was significantly shorter without anesthesia: 11.2+/-6.3 min vs. 25.0+/-8.0 min (p<0.001). CONCLUSIONS: Administration of anesthesia does not appear to affect the procedure completion success rate or patient tolerance of this hysteroscopic sterilization procedure.
机译：目的：宫腔镜消毒的避孕作用已有充分文献记载。这项研究的目的是比较采用或不采用麻醉的Essure微型插入式宫腔镜消毒的手术成功率，患者耐受性和手术时间。研究设计：在2002年2月至2005年5月之间，在此前瞻性研究中，一名操作者执行了140次灭菌程序：前70次使用局部麻醉进行，随后70次开始不进行麻醉。分析基于意向性治疗。结果：各组的人口统计学特征可比。前70例利用子宫颈旁阻滞成功完成了双侧微插入，成功率为82.8％，与随后的70例未进行麻醉的情况（91.4％）无显着差异。每组中相似数量的患者接受了额外的麻醉。两组之间的手术疼痛报告无显着差异：87.1％的患者报告有颈旁阻滞的中度或轻度疼痛，而无麻醉组的报告为91.4％。没有麻醉的情况下，手术时间明显缩短：11.2 +/- 6.3分钟与25.0 +/- 8.0分钟（p <0.001）。结论：麻醉似乎并未影响该宫腔镜绝育手术的手术完成成功率或患者耐受性。

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