兽医产科学第十章产后疾病课件.ppt

1、兽医产科学第十章产后疾病兽医产科学第十章产后疾病第二节 胎衣不下Lesson Two Retention of Afterbirthv又称胎衣滞留。又称胎衣滞留。母畜在分娩后，胎衣在一定时间内不排出称胎衣不下母畜在分娩后，胎衣在一定时间内不排出称胎衣不下。各种家畜产后。各种家畜产后胎衣正常排出时间：胎衣正常排出时间：牛：牛：12h 12h 猪：猪：1h 1h 羊：羊：4h 4h 马：马：1-1.5h1-1.5h retention of afterbirth:After the delivery of the female livestock,afterbirth cant excrete i

2、n some time.The right time of some livestocks afterbirth were excreted after delivery:Cattle:12h swine:1h sheep:4h horse:1-1.5hv奶牛的发生率奶牛的发生率10%10%左右，个别地区或单位可高达左右，个别地区或单位可高达40%40%。vThe incidence of the dairy cow is about10%The incidence of the dairy cow is about10%，someplace may reach up to 40%.somep

3、lace may reach up to 40%.v与饲养管理（运动等）和生殖道疾病及胎盘组织结构类型有关。并有一定的地区性。与饲养管理（运动等）和生殖道疾病及胎盘组织结构类型有关。并有一定的地区性。vIt is related to the feeding and management,the disease or genital tract,and the placental tissue structure types.Its aslo has provincialism.一、病因Section one、pathogeny 1 1产后子宫收缩无力：产后子宫收缩无力：与营养不良、运动不足、

4、胎儿过大过多及难产时间过长等因素与营养不良、运动不足、胎儿过大过多及难产时间过长等因素有关。同时与催产素的释放有关。如果让仔猪吸吮母猪的乳，母猪的胎衣不下发生有关。同时与催产素的释放有关。如果让仔猪吸吮母猪的乳，母猪的胎衣不下发生率下降。率下降。1、Postpartum uterus weak：Its related to the malnutrition、hypomotility、Fetals excessive and overmuch and childbirth time is too long .The release of the oxytocin is aslo a factor

5、.The incidence will decline if you let the piglet suck.2 2胎盘炎症：胎盘炎症：怀孕期间子宫受到感染，（如李氏杆菌、胎儿弧菌、沙门氏菌、支原体、怀孕期间子宫受到感染，（如李氏杆菌、胎儿弧菌、沙门氏菌、支原体、霉菌、毛滴虫、弓形虫等），发生子宫内膜炎及胎霉菌、毛滴虫、弓形虫等），发生子宫内膜炎及胎盘炎使结缔组织化，盘炎使结缔组织化，胎儿胎儿-母体母体胎盘粘连。胎盘粘连。2、Placenta inflammation：The uterus was infected during gestation time,(Listeria monocyt

6、ogenes,vibrio fetus,salmonella,Mycoplasma,mould,trichomonad,toxoplasma gondii,and so on),endometritis and placentitis made the connective tissue,fetal-maternal placenta accreta.v上一胎手术剥离过胎衣的，以后发生率高。上一胎手术剥离过胎衣的，以后发生率高。vIf the afterbirth has been strippinged,the incidence will be high.3 3与胎盘类型有关：与胎盘类型有

7、关：以牛最易发生以牛最易发生3、Concerned with the placenta type:Most occur on the cattle.4.4.胎盘未成熟或老化胎盘未成熟或老化:成熟后的胎盘结缔组织胶原化成熟后的胎盘结缔组织胶原化,变湿润变湿润,纤维膨胀呈直纤维膨胀呈直 红型，红型，子宫腺窝上皮层变平，多核细胞增多，吞噬能力增强，组织变松，易受激素影响；子宫腺窝上皮层变平，多核细胞增多，吞噬能力增强，组织变松，易受激素影响；胎盘老化是指胎盘组织增生增厚，内分泌功能减退。胎盘老化是指胎盘组织增生增厚，内分泌功能减退。4、Placenta are immaturate or agein

8、g:The ripe placenta connective tissue became collagenzation,moist,and the fibre swelled to linear type,the uterine glandular nest on cortex became flat,apocyte increase,phagocytic activity strengthen,tissue loosen,vulnerable hormones influence;aging of placenta:Placental tissue hyperplasia thickenin

9、g,hypoendocrinism.5.5.胎盘充血和水肿胎盘充血和水肿:分娩过程中分娩过程中,子宫异常强烈的收缩或脐带血管关闭太快等。子宫异常强烈的收缩或脐带血管关闭太快等。5.Placenta hyperemia and edema:During the delivery,uterine contraction extremly intense or cordvessels closed fast.二、症状Section two、symptomv可分可分全部不下全部不下和和部分不下部分不下两种两种vAll retention and half retentionv胎衣下垂于阴门外，时间长而

10、恶臭，严重时胎衣下垂于阴门外，时间长而恶臭，严重时出现全身症状。出现全身症状。vThe afterbirth descended out of the cunnus,the time is long and it is effluvial,even occur of the whole body.Normal placenta三、预后Section three、prognosis1 1经治疗能够排出的，子宫不发生感染，预后良好；经治疗能够排出的，子宫不发生感染，预后良好；1.The afterbirth can excrete with some treat,and there havent

11、infection in the uterus,the prognosis is well.2 2排不出排不出-胎衣腐烂，引起子宫积脓、内膜炎、败血症，引起死亡；胎衣腐烂，引起子宫积脓、内膜炎、败血症，引起死亡；2.Retentionafterbirth become rot,pyometra,intimitis,ichorrhemia,and death.3 3子叶脱落、损伤多者，可造成习惯性流产。子叶脱落、损伤多者，可造成习惯性流产。3.If the cotyledon drop and were harm too much,it may cause habitual abortion.四

12、、治疗Section four、Treatment1牵引牵引-可挂轻物，但不能挂一重物，防止子宫内翻及脱出；可挂轻物，但不能挂一重物，防止子宫内翻及脱出；1.haulHang some light thing,not the heavy,prevent the inversion of uterus and the uterineprolapse.2药物疗法药物疗法：2.pharmacotherapyA：雌激素：雌激素：20-30mg.ImA:estrogen 20-30mg.ImB：催产素：催产素：100u.雌激素后雌激素后6小时。小时。Im。B：oxytocin：100u.After es

13、trogen 6 hours.Im。C：宫炎净：宫炎净B或罗泰净：或罗泰净：2%-100ml.3高渗盐水法高渗盐水法：使子叶脱水，母子胎盘分离。在子宫内灌入：使子叶脱水，母子胎盘分离。在子宫内灌入5-10%氯化钠盐水氯化钠盐水2000-3000ml.3.Dehydration:Make the cotyledon dehydration ,mazolysis.Inject 2000-3000 ml 5-10%sodium chloride brine to the uterus.4.4.中药治疗中药治疗4.4.Treatment by Chinese herbs 成成 分：黄芪分：黄芪5050

14、克，党参克，党参5050克，当归克，当归8080克，川芎克，川芎8080克，核仁克，核仁5050克，红克，红花花8080克，益母草克，益母草5050克，三棱克，三棱8080克，莪术克，莪术8080克，瞿麦克，瞿麦8080克，肉桂克，肉桂5050克，牛膝克，牛膝3030克，乳香克，乳香5050克，赤芍克，赤芍5050克，香附克，香附5050克。克。用法与用量：煎药灌服用法与用量：煎药灌服1 1次，或磨成药粉温开水灌服次，或磨成药粉温开水灌服1 1次次 疗疗 效：用药后效：用药后612612小时胎衣排出小时胎衣排出composition:Astragalus mongholicus 50 g.co

15、donopsis pilosula 50g,Angelica sinensis 80 g,Ligusticum wallichii Franch 80 g,semen juglandis 50 g,red flower 80 g,leonurus 50g,rhizoma sparganii 80 g,curcuma zedoary 80g,fringed pink 80g,cassia bark 50g the root of bidentate achyranthes 30 g,olibanum 50g,root of common peony50g,rhizoma cyperi 50g.M

16、ethod&Dosage of using:boil medicine or wear to powder and dissolve lukewarm boiled water.curative effect:After the pharmacy 6-12h the afterbirth excrete.5 5手术剥离法手术剥离法：略：略5.Operation omit5.Operation omit7.7.子宫冲洗：子宫冲洗：无论何种方法，胎衣下来后，应用消毒液反复冲洗子宫无论何种方法，胎衣下来后，应用消毒液反复冲洗子宫2-32-3次，至流出的次，至流出的液体与注入的液体颜色一致为止。但需注

17、意冲洗压力不易太大，防止流入输卵管。液体与注入的液体颜色一致为止。但需注意冲洗压力不易太大，防止流入输卵管。7.7.uterinewatering:When the afterbirth came down,wash the uterus with disinfectant for 2-3 times until the influent and the excurrent liquid are of the same colour.Look out that the washing pressure should not be too high,in case of influxing th

18、e fallopian tube.v0.1%0.1%高锰酸钾高锰酸钾v0.25-0.5%0.25-0.5%利凡诺利凡诺v0.05%0.05%洗必泰洗必泰v0.1%potassium permanganate0.1%potassium permanganatev0.25-0.5%rivanol0.25-0.5%rivanolv0.05%0.05%chlorhexidine8.8.防止感染防止感染:冲洗子宫后，给予子宫收缩剂和抗菌素，防止感染；冲洗子宫后，给予子宫收缩剂和抗菌素，防止感染；8.Prevention of infection:After washing the uterus,use

19、hysterotonics and antibiotics to prevent infection.9.9.注意全身变化注意全身变化。9.Pay attention to the change of the whole body.五、预防Section five、prevention1 1饲喂含钙及维生素丰富的饲料；饲喂含钙及维生素丰富的饲料；1.Feed the livestock with the feed that was rich in Ca and vitamin.2 2加强运动；加强运动；2.Do more exercise3 3尽可能灌服羊水，并让母畜自己添干仔畜身上的粘液；尽

20、可能灌服羊水，并让母畜自己添干仔畜身上的粘液；3.Irrigate with amniotic fluid,and let the female livestock lick the mucus on the newborn animal by itself.4 4产后饮服益母草煎剂。产后饮服益母草煎剂。4.Take leonurus decoctum after delivery.第三节第三节 子宫弛缓（子宫复旧不全）子宫弛缓（子宫复旧不全）Lesson Three Atony of uterus一、定义一、定义Section one、definition 分娩后，子宫恢复至未孕时的状态所需

21、的时间延长，称为分娩后，子宫恢复至未孕时的状态所需的时间延长，称为子宫弛子宫弛缓缓（子宫复旧不全）。（子宫复旧不全）。Atony of uterus:After partum,the time that the uterus recover to the unpregnancy condition expand.(subinvolution of uterus)正常恢复时间：正常恢复时间：v牛：牛：12-2412-24天基本恢复，天基本恢复，4040天完全恢复；天完全恢复；v羊：羊：2424天；天；v猪：猪：2828天。天。The right time:Cattle:12-24 days ha

22、lf-recovery,40 days will full-recovery.Sheep:24 days.Swine:28 days.二、病因Section two、pathogenyv凡能引起阵缩微弱的各种原因，均能导致子宫弛缓。凡能引起阵缩微弱的各种原因，均能导致子宫弛缓。如老龄、瘦弱、肥胖、运如老龄、瘦弱、肥胖、运动不足、胎儿过大、胎水过多、多胎怀孕、难产时间过长等，以及催产素分泌动不足、胎儿过大、胎水过多、多胎怀孕、难产时间过长等，以及催产素分泌不足。不足。vThe cause that can lead to dolorespostpartum weak will cause ato

23、ny of uterus.Such as ageing,emaciation,fat,hypomotility,oversized of the fetus,too much of placentalfluid,polyembryony pregnancy,the time of dystocia is too much,and the hyposecretion of the oxytocinv胎衣不下、产后子宫内膜炎常继发本病。胎衣不下、产后子宫内膜炎常继发本病。vRetention of afterbirth,puerperal endometritis will secondary o

24、nset this disease.三、症状及诊断Section three、symptom and diagnosis1 1恶露排出的时间大为延长恶露排出的时间大为延长:产后产后1-21-2天内无恶露或很少；天内无恶露或很少；1.The time of the exhausting the lochia prolong greatly:After delivery 1-2 days,there is no lochia or rarely.2 2产后第一次发情时间延迟产后第一次发情时间延迟；2.The time of the postpartumheat delay.3 3努责、腹痛努责、腹

25、痛:时常排尿但量少，影响食欲，奶量、体温升高；时常排尿但量少，影响食欲，奶量、体温升高；3.Valsalva、stomachache:urinate frequently but the quantity is few,affect theappetite,output of milk and the body temperature increased.4 4阴道检查阴道检查：子宫颈口弛缓开张；：子宫颈口弛缓开张；4.Examination of vagina:Cervical orifice stretch atony.5 5直肠检查直肠检查：子宫壁厚而软，收缩反应微弱，体积比产后同期子宫

26、大。：子宫壁厚而软，收缩反应微弱，体积比产后同期子宫大。5.Examination of rectum:uterus wall is thick and soft,agonist response is weak,the volume is biigger than the uterus of the same term after delivery.四、治疗Section four、Treatment1 1子宫收缩剂：子宫收缩剂：已烯雌酚已烯雌酚20-30mg Im20-30mg Im垂体后叶制剂：垂体后叶制剂：100u Im100u Im1.Hysterotonicsv1.Diethyls

27、tilbestrol:20-30mg Imv2.posterior pituitary preparation:100u Im2 2益母草煎剂：益母草煎剂：灌服灌服 1 1斤益母草加红糖半斤斤益母草加红糖半斤2.Decoctum of leonurus:injection,1/2 kilograms leonurus and brown sugar3 3益母草流浸膏：益母草流浸膏：100-200ml 2-3100-200ml 2-3次次/日日3.Fluid extract of leonurus:100-200ml 2-3 times/day.4 410%10%高渗盐水冲洗子宫：高渗盐水冲洗子

28、宫：增强子宫增强子宫4.10%hypertonic saline wash the uterus:strengthen the uterus.5 5或宫炎净或宫炎净B B：2%-100ml2%-100ml注入宫腔注入宫腔5.:inject 2%-100ml to uterine cavity6 6防止感染：防止感染：在子宫内投入抗生素在子宫内投入抗生素6.Prevention of infection:inject antibiotic to the uterus.五、预防Section five、preventionv对于分娩时间过长（难产时间太久）的牛，可应用子宫收缩对于分娩时间过长（难产

29、时间太久）的牛，可应用子宫收缩剂。剂。vFor the cattle that have the overlong delivery time(the dystocia time is too long),we can use the hysterotonics.第四节第四节 阴道脱阴道脱lesson four Prolapse of the vaginalesson four Prolapse of the vaginav阴道脱为阴道壁的一部分（部分脱出）或全部（完全脱出）突出于阴门或阴门之外阴道脱为阴道壁的一部分（部分脱出）或全部（完全脱出）突出于阴门或阴门之外,称为称为阴道脱。阴道脱。多

30、发生于怀孕末期。其它时间亦可发生，如怀孕中期、产后等。多发生于怀孕末期。其它时间亦可发生，如怀孕中期、产后等。vProlapse of the vagina:some of the vaginalwall or the whole vaginalwall extrude from the cunnus.It always happen during the telophase of the pregnancy.Some other time,such as metaphase of the pregnancy or postpartum,it will also happen.v奶牛阴道脱出的

31、发生率较高，狗偶尔发生。奶牛阴道脱出的发生率较高，狗偶尔发生。vProlapse of the vagina often happens on dairy cattle,and occasionally happens on dog.一、病因Section one、pathogeny固定阴道的组织、阴道壁及外阴松弛。固定阴道的组织、阴道壁及外阴松弛。特别是怀孕末期，因胎盘分泌较多的雌激素，特别是怀孕末期，因胎盘分泌较多的雌激素，导致上述组织松弛导致上述组织松弛,如衰老如衰老,营养不良营养不良,疾病等。疾病等。1.The tissue and vaginalwall and vulva that

32、 fasten the vaginal are relaxed.由于种种原因使腹内压过高。由于种种原因使腹内压过高。如胎儿过大，胎水过多，瘤胃膨胀，努责，长期栓于如胎儿过大，胎水过多，瘤胃膨胀，努责，长期栓于前高后低的厩舍内。前高后低的厩舍内。2.Some reasons lead to intra-abdominalpressure.Such as oversize of the fetus,too much placentalfluid,distention of rumen，valsalva，tack the livestock in the cattle-shed where the

33、former is high and the behind is low for a long time.阴道脱出必须同时具备以上两个条件。阴道脱出必须同时具备以上两个条件。The happen of the prolapse of the vagina must be with these two conditions.二、症状Section two、symptomv部分脱出：部分脱出：常在卧地后，阴道壁形成拳头大、粉红色瘤样物夹在阴门之中，或露在阴门外，常在卧地后，阴道壁形成拳头大、粉红色瘤样物夹在阴门之中，或露在阴门外，当母牛起立后，能自行缩回。当母牛起立后，能自行缩回。vPartial

34、 prolapse:After lay stiff,the vaginalwall become a fist-size pink tumour,stuck in the cunnus,or outside of cunnus,when the cow stand up,it will retract voluntarily.v完全脱出：完全脱出：由部分脱出发展而来，在阴门外突出一排球大的囊状物，表面光滑，粉红色。由部分脱出发展而来，在阴门外突出一排球大的囊状物，表面光滑，粉红色。病畜起立后也不能缩回。在脱出的末端可以看到子宫颈外口及怀孕的粘液塞，下壁可看到病畜起立后也不能缩回。在脱出的末端可

35、以看到子宫颈外口及怀孕的粘液塞，下壁可看到尿道口。尿道口。vCompletely prolapse:Develop from the partial prolapse,there is a volleyball-sized bladder,the surface is smooth and pink.When the cow stand up,it cant retract voluntarily.In the tail end you can see the external os of vervix and the slime plug,from the paries inferior y

36、ou can see the urethral orifice.Prolapsed VaginavVaginal&cervical prolapseProlapsed CervixvProlapsed cervix 脱出的阴道，由于长期不能缩回、瘀血，很快发紫，粘膜水肿变肿白，脱出的阴道，由于长期不能缩回、瘀血，很快发紫，粘膜水肿变肿白，（表明粘膜开始坏死）。受地面磨擦及粪尿污染，常有脏物或有破口，血管破裂、（表明粘膜开始坏死）。受地面磨擦及粪尿污染，常有脏物或有破口，血管破裂、流血，久之，坏死、糜烂。流血，久之，坏死、糜烂。The prolapsed vagina,because it ca

37、nt retract for a long time,it will stasis blood,and turn blue,the mucousedema turn tumoralbus(it means the mucosa begin to become necrotic).Because of the attrition and the pollution of the fecaluria,there is always foul and crevasse,the blood vessel breaks,bleed,necrose,and become erosion at last.由

38、于脱出的阴道压迫尿道口，导致排尿困难，反之又加剧努责。完全脱出常因阴由于脱出的阴道压迫尿道口，导致排尿困难，反之又加剧努责。完全脱出常因阴道及子宫颈受到刺激，发生强烈努责，可能引起直肠脱出。道及子宫颈受到刺激，发生强烈努责，可能引起直肠脱出。v Because the prolapsed vagina stress the urethral orifice,it will lead to dysuresia,and aggravate the valsalva.Due to the cervix uterus is Stimulated,the completely prolapse will

39、 aggravate the valsalva,even lead to rectal hernia 习惯性阴道脱习惯性阴道脱一般为部分脱出，进出自如，卧地时脱出，站立时缩回。一般为部分脱出，进出自如，卧地时脱出，站立时缩回。Chronic Prolapse of the vagina:It is often partial prolapse,pass in and out freely,lay stiff,prolapse,stand up,retract.三、预后Section three、prognosis部分脱出，预后良好；完全脱出，与发病时间有关，发生在产前，一般距分娩越近，预部分脱

40、出，预后良好；完全脱出，与发病时间有关，发生在产前，一般距分娩越近，预后越好，产后多能自行恢复。后越好，产后多能自行恢复。1、The prognosis of the partial prolapse is well;the prognosis of the completely prolapse is relate to the disease time,the near be apart from the delivery the better ,and the prognosis will be better,and it will recover after delivery.不易整复

41、，一再反复脱出的，则易发生阴道炎，子宫颈炎，破坏子宫颈塞，引起胎儿死不易整复，一再反复脱出的，则易发生阴道炎，子宫颈炎，破坏子宫颈塞，引起胎儿死亡，流产。亡，流产。2.It is not easy to restitut.If it prolapse repeatedly,there will be vaginitis,trachelitis easy,and it will destroy the cervix uterus,cause foetal death and abortion.发生过阴道脱者，再受孕，容易复发，也容易发生子宫炎。发生过阴道脱者，再受孕，容易复发，也容易发生子宫炎。

42、3.The livestock that ever happen prolapse of the vagina,will easy happen again when it is fertilized,and there will also be hysteritis easily.四、治疗Section four、treatment一般采用手术固定一般采用手术固定Generally,use the operation to fix.整复：整复：站立保定：站立保定：选一前低后高的地方；选一前低后高的地方；麻醉：麻醉：第十尾椎间隙，硬膜外腔或后海穴第十尾椎间隙，硬膜外腔或后海穴0.2%0.2%的

43、普鲁卡因的普鲁卡因10-15ml10-15ml。冲洗：冲洗：用用0.1%0.1%高锰酸钾溶液溶液，或高锰酸钾溶液溶液，或0.05-0.1%0.05-0.1%新洁尔灭冲洗阴道；新洁尔灭冲洗阴道；1.Restitution (1).Stand:A place where the former is high and the behind is low .(2).Anesthesia:The interval between tenth vertebra to the second caudal,epidural space and Houhai acupoint 0.2%procaine 10-1

44、5ml.(3).Washing:0.1%potassium permanganate,or 0.05-0.1%bromogeramine wash the vagina.外科处理：外科处理：表面出血进行结扎，破口缝合；表面出血进行结扎，破口缝合；(4)surgical intervention:If the surface bleed,ligate,suture the crevasse.排尿：排尿：移动阴道排尿；移动阴道排尿；(5)Urination:shift the vagina to urinate.水肿处理：水肿处理：消毒纱布起来，用针刺放水，控制消毒纱布起来，用针刺放水，控制0.5

45、mm0.5mm深长，缓慢挤压放血水；深长，缓慢挤压放血水；(6)Dispose of edema:tie up with the sterile gauze,disembogue with acupuncture,control 0.5mm,extrude slowly to effuse the blood.纳还：用拳头顶回。纳还：用拳头顶回。(7):reject with you fist.防止重脱：防止重脱：2.Prevention of reprolapse阴门缝合：阴门缝合：用兽用号缝线双股缝合；用兽用号缝线双股缝合；(1)Suture of cunnus.Suture with b

46、ifilar18 suture.v注意：在阴门下部分不要缝合，以免妨碍排尿；注意：在阴门下部分不要缝合，以免妨碍排尿；vAttention:Dont suture 1/3 of the below of the cunnus,prevent obstructing urination.阴门固定：阴门固定：根据阴门大小，做成阴门扣，用绳子固定。为防止变位，可以用缝线固定于根据阴门大小，做成阴门扣，用绳子固定。为防止变位，可以用缝线固定于阴门皮肤上。阴门皮肤上。(2)(2)Fixation of cunnus:on the basis of the size of the cunnus,make

47、cunnus button,fixed with a rope.you can fixed on the skin of the cunnus with suture,prevent deflection.阴道侧壁与臀部皮肤缝合：阴道侧壁与臀部皮肤缝合：对于努责强烈的习惯性阴道脱，可行阴道侧壁与臀部皮肤缝对于努责强烈的习惯性阴道脱，可行阴道侧壁与臀部皮肤缝合。合。(3)(3)Suture of side wall of vagina and buttocks:For the chronic prolapse of the vagina,you can Suture the side wall

48、of vagina and buttocks v方法：方法：牛会阴部牛会阴部20-25cm20-25cm臀中部，皮下注射臀中部，皮下注射1%1%普鲁卡因普鲁卡因5ml5ml；一只手伸入阴道内，将阴道壁；一只手伸入阴道内，将阴道壁尽量贴紧骨盆侧壁，另一手先在皮肤上切一小孔，用钻鞋针插入，穿号双股缝线，在尽量贴紧骨盆侧壁，另一手先在皮肤上切一小孔，用钻鞋针插入，穿号双股缝线，在阴道侧壁和臀中部皮肤上栓上一大纽扣，尽可能栓紧，两侧方法相同。阴道侧壁和臀中部皮肤上栓上一大纽扣，尽可能栓紧，两侧方法相同。vMethod:Inject subcutaneous on the perineum of the

49、 cattle with 1%procaine 5ml.stretch one fist into vagina,the other fist cut an opening on the skin.Insert the needle with 18 bifilar suture.Plug a big fastener tightly,both the two sides are with the same method.v机理：机理：由于缝线穿过自的结缔组织发生增生增生，最后使阴道壁与骨盆侧壁发生粘连。因由于缝线穿过自的结缔组织发生增生增生，最后使阴道壁与骨盆侧壁发生粘连。因而固定比较结实，阴

50、道不易再脱出。而固定比较结实，阴道不易再脱出。vPrinciple:The connective tissue are hyperplastic after suturing,the vaginalwallv and the side wall of pelvis adhere.The fixation is burly.v固定后，在阴道两侧深部组织内各注入酒精固定后，在阴道两侧深部组织内各注入酒精20-40ml20-40ml，刺激组织发炎，肿胀，加速粘连。，刺激组织发炎，肿胀，加速粘连。vAfter fixing,inject alcohol 20-40 ml into the two si