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作者1977年5月至1983年1月,对141名阴道足月分娩后要求绝育的妇女,行腹腔镜绝育。平均年龄32.2岁(22～45),平均妊娠4.1次(1～9),活产3.8次(1～8)。手术在全麻下进行。部份病例使用举宫器。将Falope环放置在距子宫输卵管交界处约3cm处。如果对环的位置有怀疑,术后3个月行子宫输卵管造影。 141例中7例(5%)进行了开腹术切除输卵管。其中3例因为子宫增大影响视野,不能识别输卵管;2例由于气腹技术问题;另外2例是因为输卵管系膜撕裂出血而需行开腹术。没有发生输卵管断裂。输卵管系膜撕裂伴出血共10例,8例自然停止或再套环后血止。手术并发症与肥胖、急腹症和输卵管炎症没有任何关系。10例术后作输卵管子
From May 1977 to January 1983, the authors performed laparoscopic sterilization of 141 women who required sterilization after term vaginal delivery. The average age was 32.2 years old (22-45), the average pregnancy 4.1 (1-9), live birth 3.8 times (1-8). Surgery under general anesthesia. In some cases use uterine apparatus. Place the Falope ring about 3 cm from the junction of the fallopian tube. If you have doubts about the location of the ring, hysterosalpingography 3 months after surgery. In 141 cases, 7 cases (5%) underwent open surgery to remove the fallopian tubes. 3 cases because of the enlarged uterus affect the visual field, can not identify the fallopian tube; 2 cases due to pneumoperitoneum technical problems; the other 2 cases are due to tubal tear bleeding and need to open laparotomy. Tubal rupture did not occur. Tubal torn laceration with a total of 10 cases of bleeding, 8 cases of natural stop or re-loop after the blood only. Surgical complications and obesity, acute abdomen and tubal inflammation have nothing to do. 10 cases of tubal tube after surgery