目的　观察输卵管银夹结扎术的绝育效果 ,分析失败原因。方法　对 1989年 10月至 1992年 6月施行的输卵管银夹结扎手术对象进行随访分析。结果　 6 0 72例输卵管银夹结扎术对象绝育有效 6 0 0 4例 ,有效率 98 88% ;失败 6 8例 ,失败率 1 12 %。结论　输卵管银夹结扎术是一种绝育效果好、操作简单、术中出血少、手术时间短、术后恢复快 ,并发症、后遗症少的绝育手术。 Objective To observe the sterilization effect of tubal silver clip ligature and analyze the reason of failure. Methods The follow-up analysis of the tubal ligation occlusion surgery performed from October 1989 to June 1992 was performed. Results Six hundred and seventy cases of tubal silver clip ligature were effective in sterilization of 600 cases with an effective rate of 98.88%. Sixty-eight cases failed and the failure rate was 12.2%. Conclusion Tubal silver clip ligation is a sterilizing effect, simple operation, less bleeding, shorter operative time, faster recovery, complications, less sequelae of sterilization.