论文部分内容阅读
腹式输卵管结扎术中并发症的发生,多由于术中不慎而造成膀胱、肠管的损伤,肠系膜及输卵管系膜血肿,卵巢、肠脂肪垂撕裂伤,变异的输尿管损伤等.这类并发症常见而且重要,医务人员应加以注意和警惕.笔者在临床实践中体会到,行腹式输卵管结扎术时,如果把好“进腹”与“取管”两关,就可以提高手术质量,缩短手术时间,并可避免脏器损伤等并发症的发生.现将粗浅体会介绍如下:术中并发症的预防思想上要重视,认真对待手术,小手术当大手术作.对不同体型,术中可能出现不同情况的病例,要做到胸中有数。对于半环线下的腹壁解剖及该区域的腹内脏器的特征要熟悉.如做旁正中切开,依次为皮肤→皮下→腹直肌前鞘→腹横筋膜→腹膜外脂肪→腹膜.尤其做小切口术时,更应辨清组织层次,作到层层入腹.(一)进腹:注意膀胱要空,切口要高,腹膜要认清.
Abdominal tubal ligation in the occurrence of complications, mostly due to inadvertently caused by bladder and bowel injury, mesenteric and tubal hematoma, ovarian, intestinal prolapse tear laceration, variant ureteral injury, etc. Such complications Disease is common and important, medical staff should be aware of and vigilance.I understand in clinical practice, abdominal abdominal tubal ligation, if the good “into the abdomen” and “take control” two, you can improve the quality of surgery, Shorten the operation time and avoid the complications of organ injury, etc. Now the superficial experience is introduced as follows: the prevention of intraoperative complications should pay attention to the thought of serious surgery, minor surgery for major surgery for different body types There may be cases of different situations, to be aware of. For semi-circular abdominal wall anatomy and abdominal organs of the region to be familiar with the characteristics of the region, such as next to the mid-incision, followed by skin → subcutaneous rectus sheath → abdominal transverse fascia → extraperitoneal fat → peritoneum. Small incision surgery, but also to identify the level of organization, as layers to the abdomen. (A) into the abdomen: pay attention to the bladder empty, incision to be high, the peritoneum to recognize.