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最近我们总结了我院在农村大队和社员家庭做的腹式输卵管结扎术(以下简称女扎术)1300例,就几个具体问题谈一点粗浅认识。一、切腹膜时易发生的副损伤及其预防肠管和膀胱损伤是女扎术切腹膜时常见的副损伤。本组有肠管损伤5例,笔者进修所在医院膀胱损伤1例。分析本组病例,发生副损伤的原因有:1.腹壁切口过小;2.非直视下提取腹膜,在分离腹膜前组织时将腹膜穿破;3.切口向脚侧倾斜;4.术者解剖关系不清,辨认力差。
Recently, we summarized 1300 cases of abdominal tubal ligation (hereinafter referred to as female ligation) made by our hospital in rural brigade and member families, and talked a few superficial understandings on a few specific issues. First, the cutaneous peritoneal prone injury and its prevention of bowel and bladder injury is a female Za operation peritoneal common side injury. This group has bowel injury in 5 cases, I studied in hospital bladder injury in 1 case. Analysis of this group of patients, the occurrence of secondary injury are: 1. Abdominal incision is too small; 2. Extract the peritoneum under non-direct vision, peritoneal perforation in the separation of peritoneal tissue; 3. Incision to the foot tilt; 4. Surgery Anatomy unclear, poor identification.