输卵管结扎是当前国内外经常用的女性绝育手术,它虽具有简单、安全可靠等特点。但也不可避免发生一些并发症,我院1982～1993年共行输卵管结扎987例,现就术中防止脏器损伤的体会总结如下: 根据有关资料报导,输卵管结扎术中,常易发生膀胱、肠管损伤,有时误伤输尿管,而且有时也会出现将输卵管及输尿管同时结扎,造成输尿管瘘,而最常见的是膀胱损伤。这主要是术者不熟悉解剖层次;术时膀胱未排空;手术切口小而低以及过分牵拉腹膜,盲目操作有关。根据以上易出现膀胱损伤的各种情况,我们在术中能坚持不懈地做到,预防在先,措施有效:(1)术前6～8小时禁食水,上台前排空膀胱,对肥胖体型者和二次剖腹手术者术前留置尿管;(2)切口下缘距耻骨联合不能小于3cm;(3)局麻分层进行;(4)进腹前先钝性分 Tubal ligation is currently used at home and abroad commonly used female sterilization surgery, although it has a simple, safe and reliable. However, some complications are inevitable, our hospital from 1982 to 1993, a total of 987 cases of tubal ligation, now the intraoperative prevention of organ damage are summarized as follows: According to the data reported that tubal ligation, often prone to bladder, Intestinal damage, and sometimes accidental injury of the ureter, and sometimes there will be simultaneous tubal and ureteral ligation, resulting in ureteral fistula, and the most common is bladder injury. This is mainly the surgeon is not familiar with the anatomical level; surgery was not emptying the bladder; surgical incision small and low as well as excessive peritoneal traction, blind operation. According to the above prone to various conditions of bladder injury, we can consistently in the surgery to prevent the prior measures effective: (1) preoperative 6 to 8 hours of fasting water, emptying the bladder before going to the stage, Obese body type and secondary laparotomy preoperative catheterization; (2) the lower edge of the incision from the pubic symphysis can not be less than 3cm; (3) local anesthesia stratification; (4)