Prevention and treatment of uterine perforation: ask the medical history before operation, whether it is lactation uterus or scar uterus and abnormal uterus. Find out the position and size of the uterus and try to correct the flexed uterus to make it flat. Abnormal uterus is best operated under B-ultrasound. Operation time: People attach importance to induced abortion aspiration ideologically, mainly depending on the operator's feeling, rather than the real operation under direct vision, so they should be more cautious and meticulous. First, the depth of the uterine cavity is detected according to the position of the uterus during gynecological examination. When expanding the cervical canal, use a smooth pointed cervical dilator to expand the cervix in the direction of uterine cavity, instead of using a cylindrical cervical dilator to expand the cervix, because this type of dilator has a small gap with the size, it is difficult to expand, and it takes a lot of effort to expand. When dilating the internal cervix, the uterine wall can be punctured due to inertia. In addition, when expanding the cervix, the left hand must be carefully and slowly expanded under the protection of the right hand, so as to avoid puncturing the uterus under the action of inertia and causing uterine perforation. When sucking the uterus with a straw, be sure to gently send the straw to the fundus of the uterus first, and then suck it, so as to avoid moving forward while sucking and sucking it through the uterus when the uterus is soft. When the negative pressure is too large, the suction tube can hold the uterine wall and is not easy to move. Therefore, it is necessary to relieve the negative pressure and move the suction tube to avoid suction through the uterus. During the operation, it is found that the depth of uterine cavity is obviously greater than the preoperative measurement value, or there is a sudden bottomless feeling, so the situation of uterine perforation should be considered. Such as intestinal loop and omentum. It is sucked out during the operation, or even sucked out of the cervix, causing serious incarceration or injury. The omentum, intestine or colon band can be seen with naked eyes. The same result will occur when the oval pliers are injured. Simple perforation has no clamping effect. For example, the perforation is small, but the tissue has not been completely discharged. Under the premise of giving oxytocin, a skilled doctor can be replaced to avoid the perforation and take out the contents with a straw. Postoperative hospitalization closely observed the changes of vital signs, abdominal bleeding and other general conditions, and gave uterine contractions and anti-inflammatory drugs. After observation, most patients' condition is generally stable and there is no need for laparotomy. Follow-up after discharge. Such as abdominal mass, internal bleeding or acute abdominal pain, shock, etc. Once found, laparotomy is needed immediately. If the perforation is large, the contents of the uterine cavity are not cleaned up, and there is active bleeding, it is necessary to operate immediately. Suction was performed under direct vision, and then 1 chrome catgut was used to suture the breach intermittently, and two layers of suture were used. Whether there is clamping or suction, the intestinal tract, mesentery and pelvic organs should be routinely examined during laparotomy. Don't ignore that there may be several injuries at the same time. ? When the loop of intestine and omentum is pulled to the external cervix during operation, it is forbidden to try to reflux through vagina. An emergency laparotomy must be performed immediately. People with intestinal or mesenteric injuries should be repaired and stopped bleeding. If necessary, the intestines injured by incarceration should be removed. Repair perforation of uterine wall. If there is no fertility requirement, it is best to do tubal ligation at the same time to prevent uterine dehiscence in the second pregnancy. Postoperative infection should be prevented and necessary treatment should be carried out according to the operation situation. The above are some related treatment methods. Once there is uterine perforation, you must find a professional hospital for treatment.