8年来,我院做了5600例腹式输卵管结扎手术,其中出现并发症14例.现总结经验教训如下:一、肠系膜损伤:2例.1、原因:1例因提取输卵管时大网膜遮盖视野,用大摄子倒送肠管时用力过猛,将其肠系膜的血管挫伤出血。另1例因切开腹膜时,误将肠系膜钳起连同腹膜一同切开,造成肠系膜血管断裂出血.2、处理:①当肠系膜形成血肿时,应切开血肿,清除凝血块,寻找出血点并给予缝合结扎,修补肠系膜.②当血管断裂出血时,应立即结扎缝合出血点.经过上述处理后不要急于将肠管送回腹腔,应仔细观察肠管是否有缺血现象,如缺血严重引起肠坏死的应作肠切除.3、经验与教训:①用吊钩或钳提输卵管时要准确轻柔,尤其用大摄子倒送肠管时,要防止粗暴操作.②在切开腹膜时,钳夹组织不宜太多,要反 8 years, our hospital made 5,600 cases of abdominal tubal ligation surgery, of which 14 cases of complications are summarized as follows: First, the mesenteric injury: 2 cases .1, Cause: 1 case due to extraction of oviduct omentum cover Field of vision, with a big shot back when the intestines too much force, the mesenteric vascular contusion bleeding. Another case due to incision of the peritoneum, the mesenteric forceps will mistakenly cut along with the peritoneum together, resulting in mesenteric vascular rupture bleeding .2, treatment: ① when the formation of hematoma mesenteric, hematoma should be cut to remove the clot to find the bleeding point and Given suture ligation, repair mesentery.②When blood vessel rupture bleeding, immediately suture suture bleeding.After the above treatment do not rush back to the abdominal cavity of the intestine, should be carefully observed whether there is intestinal ischemia, such as severe ischemia caused by intestinal necrosis Should be done for intestine resection.3, experience and lessons: ① hook or clamp when the fallopian tubes to be accurate and gentle, especially when using the big shot back to the intestine, to prevent rude operation.②In incision of the peritoneum, the clamp tissue Not too much, to be reversed