本院自一九七九年十二月至一九八四年十二月开展了双重结扎术344例,效果满意。现报导如下: 操作方法:采用双重结扎输卵管的方法,先局麻,下肢正中小切口开腹,子宫复位、指板提管。取输卵管狭部后用两把组织钳予以固定,两钳之间相距1cm,然后向该侧输卵管系膜内注入0.5％～1％普鲁卡因1～1.5ml,以拇食指将麻药按均匀,扪及管芯,在直视下于输卵管系膜无血管处,以小圆针穿4号丝线缝扎二针,每针相距0.5cm。以同样方法结扎对侧输卵管。优点:1,输卵管结扎术是女性绝育术的主要方法。笔者从银夹阻断术推理,认为双重结扎术符合生理功能,能保持原有解剖特点,组织损伤少,不分离输卵管系膜,血管几乎无损。结扎线相距0.5cm发生输卵管积液的可能性较小,管腔长度改变不大,伞部 A total of 344 cases of dual ligation were performed in our hospital from December 1979 to December 1984 with satisfactory results. Are reported as follows: Method of operation: Double ligation of the fallopian tube method, first local anesthesia, lower middle incision laparotomy, uterine reduction, finger board. After taking the tubal stricture with two tissue pliers to be fixed, the distance between the two pincers 1cm, and then to the side of the fallopian tube injection of 0.5% ~ 1% procaine 1 ~ 1.5ml to the thumb index finger to uniform , Palpable die, under direct vision in the fallopian tube membrane without blood vessels Department, a small needle to wear on the 4th silk suture two needles, each needle 0.5cm apart. In the same way ligation of the contralateral fallopian tubes. Advantages: 1, tubal ligation is the main method of female sterilization. The author from the silver clip blocking reasoning, that double ligation consistent with physiological functions, to maintain the original anatomical features, less tissue damage, does not separate the fallopian tube mesangial, blood vessels almost no damage. Tubing 0.5cm away from the possibility of tubal effusion is less likely to change the lumen length, umbrella