目前在计划生育手术过程中,发生了部分节育手术的合并症。现就合并症的产生原因及共防治问题,作如下讨论。放环或取环损伤引起损伤的主要原因是没有按照手术操作规程施术。常见的如术前未作内诊,不知子宫大小和方位,以探针探测子宫时又未细察进入的刻度,稍一用力即引起子宫穿孔(哺乳期受孕,因子宫壁既软又薄,更易引起穿孔);也有的在手术后附加多余的操作而引起损伤,如环既取出,本来手术即可结束,却又用探针探测宫腔造成穿孔;放环后因受术者感到疼痛等各种原因,要求取环,在取环过程中因术者用钩不慎,常致肠管多处损伤,引起严重腹膜炎等合并症。 At present, during the family planning operation, some complications of birth control surgery have taken place. Now on the cause of complications and prevention and control of the problem, the following discussion. Put the ring or ring damage caused by injury is not the main reason for surgery in accordance with surgical procedures. Common, such as preoperative no internal diagnosis, I do not know the size and orientation of the uterus to the probe probe the uterus did not scrutinize into the scale, a little force that is caused by uterine perforation (lactation conception, because the uterine wall is both soft and thin, More likely to cause perforation); some additional operation after the operation caused by injury, such as the ring is removed, the operation can be the end, but with the probe to detect uterine cavity caused by perforation; For various reasons, the request ring, in the process of taking the ring because of careless hook, often cause multiple bowel damage, causing severe complications such as peritonitis.