随着计划生育工作的广泛开展,行节育手术者越来越多。我院人流室自1978年以来,共行节育手术50400余例,其中由作者施行的钳夹术达1423例,年龄最小15岁,最大49岁。妊娠时间90天至120天,最长一例168天。胎次最多为第10胎。1423例钳夹术中,除2例发生羊水栓塞经积极抢救治愈外,其余均能顺利完成手术。钳夹术的禁忌症及术前准备基本同人工流产吸引术。以下谈谈作者在钳夹中的体会。 一、认真对待每一例钳夹术,操作时思想高度集中,严格手术步骤,动作稳、准、轻、巧,避免暴力,防止宫颈损伤和子宫壁穿孔。 二、关于钳夹术的宫颈扩张问题 术时宫颈扩张程度取决于妊娠月份的大 With the extensive implementation of family planning work, more and more people have undergone childbirth. Since 1978, there have been more than 50,400 birth-control surgeries in our hospital abortium, of which 1423 cases were performed by the authors. The youngest was 15 years old and the oldest was 49 years old. Pregnancy 90 days to 120 days, the longest case of 168 days. Fetal up to the first 10 tires. 1423 cases of clamp surgery, except for 2 cases of amniotic fluid embolism by active rescue and cure, the rest were able to successfully complete the operation. Contraindications for jaw surgery and preoperative preparation with artificial abortion aspiration. The following talk about the author’s experience in the jaws. A careful treatment of each case of clamp, the operation of a high concentration of ideas, strict surgical steps, action, accurate, light, clever, to avoid violence, to prevent cervical injury and uterine wall perforation. Second, on the cervical spondylosis of the problem of cervical dilation when the degree of expansion depends on the large month of pregnancy