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6年来笔者用手指取管法做女扎术2170例取得良好效果,此方法简便,无后遗症适合于基层。手指取管法是在局麻经腹小切口。如遇大网膜,送还上腹腔。以食中二指并拢伸入切口,指夹沿腹壁-膀胱子宫窝——宫颈,宫体的顺序滑向宫底。如遇子宫后倾后屈,可用手指勾住圆韧带拉子宫到前位。在宫底分开手指,食指在前,中指在后,两指下滑屈指挟住宫颈上提,使宫底接近切口。继之两指贴宫体前后滑向一侧宫角,至输卵管、圆韧带、子宫卵巢韧带。凭感觉边向外滑、边排除前下方的圆韧带和后下方的子宫卵巢韧带。当两指间只剥输卵管时,用食指的
6 years, I use the finger tube method to do female ligations 2170 cases achieved good results, this method is simple, no sequelae suitable for the grassroots. Finger tube method is a small incision in the local anesthesia. In case of omentum, returned on the abdominal cavity. Two fingers together in the food into the incision, finger folder along the abdominal wall - bladder uterine fossa - cervix, Palace of the order of sliding to the palace floor. In case of posterior uterine backward flexion, fingers can be hooked round ligament pull the uterus to the front. Separated fingers at the end of the palace, the index finger in the front, the middle finger in the back, fingers slid down to lift the cervix to make the palace near the incision. Followed by the two before and after the paste body Palace slide to the side of the palace, to the fallopian tubes, round ligament, uterine ovary ligament. With the feeling of sliding outward, while excluding the anterior round ligament below and below the bottom of the ovarian ligament. When the two fingers only strip the oviduct, with the index finger