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近几年来,我们共做女性结扎输卵管绝育手术12000多例,其中有数例在术中出现输卵管断裂.这种意外情况的发生,常常导致出血而延误手术时间,给患者带来一定的痛苦,有关其防治,乃是女扎术中必须注意的一个问题.现将我们的体会总结如下:发生原因①术法欠妥:目前应用的小切口指板法,在术中用指板提拉输卵管,当触及输卵管后手指尖及指板拉勾时,应同时由输卵管近端滑向远端(相当地壶腹部),较易提出.否则,不注意滑管动作,在输卵管近端(相当于峡部)即强行上提,则该处输卵管紧张度增大,势必造成断裂.②输卵管过细,女扎中所见输卵管的管径大小悬殊甚
In recent years, we have done a total of more than 12,000 cases of tubal sterilization of female ligation, of which there are several cases of tubal rupture during surgery.This unexpected situation, often leading to bleeding and delay in operation time, to patients with some pain related to Its prevention and treatment, but is a female must pay attention to a problem.Now we summarize the experience is as follows: The causes of ① improper operation method: the current application of small incision finger board method, the use of fingerboard in the operation to pull the fallopian tubes, When touched after the tubal fingertips and finger board pull hook, should also slide proximally from the proximal tubal (fairly ampulla), easier to put.Otherwise, do not pay attention to the slide tube in the proximal tubal (equivalent to the isthmus ) That is forced on the mention, then the Department of oviduct tension increases, is bound to cause rupture.② tubal too thin, the size of the female tubal tubal diameter difference