1临床资料患者,女,36岁,因“二胎平产后9个月,要求绝育术”入院。患者平时月经规则,无痛经,2-0-3-2,已平产二胎,因计划生育部门要求其行绝育术,故患者入院准备行双侧输卵管结扎术。既往身体健康,术前行B超(子宫附件)检查无异常,血常规、凝血功能及肝肾功能等常规检查无异常。排除手术禁忌后取腹部小切口拟行双侧输卵管结扎术。因无法进腹,延长切口,发现盆腹腔内广泛膜状粘连,盆腹腔脏器均被致密包裹其中,只能触及子宫及双侧卵巢, 1 Clinical data Patients, female, 36 years old, because “second child after delivery for 9 months, requiring sterilization ” admission. Patients usually menstrual rules, no dysmenorrhea, 2-0-3-2, had a second child, due to family planning departments require sterilization, so patients admitted to hospital for bilateral tubal ligation. Past physical health, preoperative B-ultrasound (uterine attachment) check no abnormalities, blood, coagulation and liver and kidney function and other routine examination without exception. Exclude taboo surgery to take a small incision of the abdomen to undergo bilateral tubal ligation. Due to unable to enter the abdomen, extend the incision and found extensive abdominal adhesions within the abdominal cavity, pelvic organs were densely wrapped therein, can only touch the uterus and bilateral ovaries,