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目前,结扎输卵管仍然是计划生育的重要手段。如何提高手术质量,预防术后并发症仍是妇产科工作者的长期科研课题。我科自1962年1月～1975年6月共施行结扎手术1,220例(腹式结扎1,127例,阴式结扎93例)。1972年10月广州市计划生育手术队来我县推广“腹部小切口结扎”手术以后,我科普遍采用“指板提管”技术。手术质量有所提高,手术时间显著缩短,大部分30分钟以上缩至30分钟左右,术后并发症普遍降低。现就临床实践中的几个问题提出讨论,供参考。
At present, tubal ligation is still an important means of family planning. How to improve the quality of surgery, prevention of postoperative complications is still obstetrics and gynecology workers long-term research topics. Our department from January 1962 to June 1975 performed a total of 1,220 cases of ligation (abdominal ligation 1,127 cases, vaginal ligation 93 cases). October 1972 Guangzhou City Family Planning Surgery Team to my county to promote “abdominal incision ligation” surgery, our department commonly used “fingerboard tube” technology. Operation quality has improved, the operation time was significantly shortened, most of the 30 minutes or more reduced to 30 minutes, postoperative complications generally lower. Now on the clinical practice of several issues for discussion, for reference.