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1975～1979年,我科共做腹式输卵管结扎术3,624例。为确保安全,减少痛苦,避免发生并发症和后遗症,我们体会必须把好四关,抓好五个环节。把好四关一、术前检查关:详细了解病史,认真做好妇科检查,并做重要器官检诊和必要的化验,严格掌握手术适应证。在集中大量手术时,术者和检诊者往往不是同一个医生,因此在术前必须再重点了解病史,防止盲目上手术台。如1例自述婚前做过子宫瘤手术,但在术中找不到右侧输卵管,经扩大切口发现右附件缺如,分析其婚前手术为右卵巢肿瘤而行右侧附件切除。妇科检查时要注意附
From 1975 to 1979, 3,624 cases of abdominal tubal ligation were performed in our department. In order to ensure safety, reduce pain and avoid complications and sequelae, we must understand that we must take a good four-hands stage and do a good job in five stages. A good four off a preoperative check off: a detailed history of the disease, conscientiously do a good job in gynecological examination, and do important organs and the necessary laboratory tests, strict control of surgical indications. When focusing on a large number of operations, the surgeon and the examiner are often not the same doctor. Therefore, it is necessary to focus on the medical history before the operation to prevent blind operation of the operating table. Such as a case of premarital uterine tumor done before surgery, but failed to find the right side of the fallopian tubes, the right attachment was found by an enlarged incision, analysis of pre-marital surgery for the right ovarian tumor and right attachment resection. Gynecological examination should pay attention to attached