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输卵管结扎术是控制生育的常用措施之一,术后有些妇女因子女意外或再婚而需再育,要求行输卵管再通术。作者自1989年以来,采用显微外科技术,施行输卵管吻合68例,效果满意,现报告如下。临床资料 1.手术对象:本组68例,年龄27～37岁。平均31岁,复通术距结扎时间4个月至12年,平均4.9年,孕次1～5次,妇科检查正常,无开腹禁忌,按妇科手术常规准备,均于月经干净后3～7进行。 2.手术步骤:施硬膜外麻醉,下腹正中切口长约5Cm,常规开腹,探查所见:结扎术式抽管蕊法51例、银夹法10例、波氏法7例,2例系第二次吻合,二例有盆腔粘连。提出输
Tubal ligation is one of the commonly used measures to control childbirth. Some women are required to be re-educated because of accidental or remarried women after surgery, requiring tubal recanalization. The authors since 1989, the use of microsurgical techniques, the implementation of tubal anastomosis in 68 cases, the results are satisfactory, are as follows. Clinical data 1. Surgical objects: This group of 68 patients, aged 27 to 37 years. An average of 31 years old, Fong Tong ligation from the ligation time of 4 months to 12 years, an average of 4.9 years, pregnancy times 1 to 5 times, gynecological examination was normal, no laparotomy taboo, according to gynecological surgery routine preparation, 7. Surgical procedures: epidural anesthesia, incision on the lower abdomen is about 5Cm, conventional laparotomy, probing findings: ligation of stool law in 51 cases, silver clip in 10 cases, Bridges’ method in 7 cases, 2 cases The second anastomosis, two cases of pelvic adhesions. Suggest to lose