我院自1982年末改革了绝育术式,经500例手术观察,均达到了安全快速的目的,平均手术时间8分钟,故此介绍供同道参考。一、术式介绍(一)阶梯式臀高位:系头肩取平位,由背至臀取37°角斜坡位,臀部下再放置7～8cm 厚的棉垫,两腿屈曲,即形成阶梯式臀高位。此种体位有利于大网膜及肠管自然向上腹沉移,使盆腔空旷,当切开腹壁并用拉钩提起腹壁时,盆腔内即可形成一个10cm~3的可视空间,直视下钩取和结扎输卵管,术野极为清楚,不会损伤其它脏器,而且不论前位或后位子宫,均无须事先复位,也不必伸进手指探摸。我们采用波氏(Pomerey)法7号丝 Our hospital since the end of 1982 reform sterilization method, by 500 cases of surgical observation, have reached the purpose of safety and rapid, the average operation time of 8 minutes, so for the introduction for fellow reference. First, the surgical description (a) step-type hip high: Department of the head to take a bit flat, from the back to the hip take a 37 ° angle ramp, hip and then placed 7 ~ 8cm thick pad, legs buckling, the formation of the ladder Hip high. Such posture is conducive to the omentum and bowel naturally upward abdominal Shen, the pelvic open, when the abdominal incision and pull the abdomen with a pull hook, the pelvic cavity can be formed within a 10cm ~ 3 visual space, under the hook to take and Ligation of tubal, surgical field is very clear, will not damage other organs, and regardless of the anterior or posterior uterus, without prior reset, do not have to reach into the fingers to explore. We use the Pomerey Act, No. 7 wire