预防和处理腹膜粘连也是妇科医生密切关注的课题之一,盆腔手术后引起腹膜粘连,可继发肠梗阻和不孕症,本文复习术后腹膜粘连病因和预防的近代研究成果。病因手术后腹膜粘连的原因,过去认为浆膜破损后,纤维蛋白原释放,使纤维蛋白形成凝块,导致相邻组织的粘着,然后机化,变成永久性的纤维状粘连。因此保持间皮的完整是使纤维蛋白吸收和预防粘连的关键。这就是将粗糙面再腹膜化、移植网膜或者用腹膜片修补的理论根据。自十九世纪后期许多报告指出,腹膜缺 Prevention and treatment of peritoneal adhesions is also one of the topics closely watched by gynecologists. Peritoneal adhesions after pelvic surgery can cause secondary intestinal obstruction and infertility. This article reviews the results of modern research on the causes and prevention of postoperative peritoneal adhesions. Causes of postoperative peritoneal adhesions, the past that the serosal damage, the release of fibrinogen, fibrin formation clot, resulting in the adhesion of adjacent tissues, and then machine to become a permanent fibrous adhesion. Therefore, to maintain the integrity of the mesothelium is the key to fibrin absorption and prevention of adhesion. This is the theoretical basis for re-roughening the surface, transplanting the omentum, or repairing it with a peritoneal patch. Many reports from the late nineteenth century indicate that the peritoneum is absent