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我站自1983年底将子宫刮匙通过制作改进为一种指板,用于输卵管结扎术5000余例效果较好。现将制作和使用方法介绍如下。一、改良式指板的制作与形态取子宫刮匙一根,先将刮匙头腹侧锐面用砂纸打钝或磨钝。再顺其原有弯度继续曲折至110~120度角,将刮匙孔扩成0.8~1cm,弯曲前臂长约7~8cm。后段及匙柄不变。二、使用方法腹壁切口1.5~2cm,术者先用左手食指探清子宫位置并从一侧子宫角滑向输卵管后方,右手持改良式指板柄,将其前臂紧贴左食指掌侧轻轻插入腹腔直达同侧子宫角处,再将匙头稍向前仰起置于输卵管
I stand since the end of 1983 the uterine curette improved through the making of a fingerboard, tubal ligation for more than 5000 cases better. Now the production and use of methods are described below. First, the improved fingerboard production and morphology take a curette spoon, the first sharp head ventral curette blunt or blunt use sandpaper blunt. Then continue along its original tortuous twists and turns to 110 ~ 120 degrees angle, the keyhole expanded to 0.8 ~ 1cm, bent forearm about 7 ~ 8cm. The back section and the key handle unchanged. Second, the use of abdominal incision 1.5 ~ 2cm, the surgeon first with the left index finger to explore the position of the uterus and slide from one side of the uterus to the rear of the fallopian tube, right hand holding a modified finger stick handle, his forearm close to the left palmar gently Into the abdominal cavity to the ipsilateral uterine horn, and then slightly forward spoon placed in the fallopian tube