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新术式的阴道前或后穹窿开腹及抓取输卵管的程序与过去术式相同。不同之处在于当抓取到输卵管后用两把长止血钳相互倒换着移向输卵管伞,以allis氏钳夹住输卵管伞拉入阴道内,但因输卵管系膜短,牵制在输卵管与卵巢之间不能充分伸展,免强牵拉可导致输卵管系膜破裂出血。为此,笔者用两把小Kocher氏钳平行夹住输卵管系膜末端,由中间切断。将卵巢一侧系膜以4号细丝线结扎止血,未切断的输卵管系膜边缘做Z字形缝合止血,输卵管一侧系膜如有出血可分离结扎,根据每个病例不同情况,结扎止血方法不拘。最后以6～7号粗丝线或尼隆线结扎输卵管伞,向下方牵引。输卵管末端经上述处理已完全与卵巢游离,能充分拉入阴道内,切掉结扎线外侧的输卵管伞,使其失去捕
New procedures for the vaginal or posterior fornix laparotomy and grab the procedure of the same procedure as in the past. The difference is that when caught after the fallopian tubes with two long hemostatic force switch to the fallopian tube umbrella, allis Clamps tubal umbrella into the vagina, but due to tubal short, contain in the fallopian tube and ovary Can not fully stretch between, avoid strong traction can lead to tubal rupture bleeding. To this end, I used two small Kocher’s clamp parallel to the end of the fallopian tube mesangial cut off by the middle. Ovarian side of the mesangial line No. 4 ligation to stop bleeding, unruptured tubal edge of the Z-shaped suture to do the bleeding, tubal bleeding on the side of the membrane can be separated and ligation, according to the different circumstances of each case, ligation stop bleeding method . Finally, 6 to 7 thick silk thread or nylon ligation tubal umbrella, traction to the bottom. The end of the fallopian tube by the above treatment has been completely free from the ovary, can be fully pulled into the vagina, cut the tubal outside the tubal umbrella, so that it lost