本文仅就多年来所做的20,000例经腹输卵管结扎术的术中、术后几个问题作分析。一、使用输卵管提钩取管用钩方法:中位子宫用钩可迅速取管;后倾后屈小子宫将钩下得深些,钩取亦较容易。若钩到卵巢或卵巢固有韧带,可在其前外下方再放一反钩,亦可钩取。有时钩至园韧带,可在其外后方取管;前倾前屈子宫则可用反钩(钩尖向脐侧)钩取。取管要点:钩到输卵管时,可有轻微的反牵力。若反牵力较大可能是卵巢或其韧带也可能是输卵管有粘连,切忌用暴力强提硬钩,以免造成副损伤。若无反牵力,钩到的多是大网或肠袢。在钩取输卵管时受术者多有微痛感觉,这常是钩取到输卵管的重要体 This article only on 20,000 years made by transabdominal tubal ligation intraoperative and postoperative several questions for analysis. First, the use of tubal hook hook pipe hook method: the middle of the uterus hook can quickly take control; backward bend flexor the uterus will hook deeper, hook is also easier. If the hook to the ovary or the inherent ligament of the ovary, you can put an anti-hook in front of its outer bottom, but also hooked. Sometimes hooked to the park ligament, can be taken in the outside of the tube; anteversion of the uterus can be used anti-hook (hook tip to the umbilical side) hooked. Take control points: hooked to the fallopian tubes, there may be a slight anti-strain. If the anti-large force may be the ovary or ligaments may also have tubal adhesions, should not use strong hard to mention hardened hook, so as to avoid causing side effects. If there is no anti-force, hooked to the net or more intestine. When hooking the fallopian tube by the surgeon more than a slight pain feeling, which is often hooked to fallopian tube important body