腹膜外剖宫产术有术后不禁食、排气早、康复快等优点。我院自1970年开展这种手术,从1978年至1985年4月共做腹膜外剖宫产1286例,其中应用顶边液压分离法945例。此法在局麻下手术,同时以局麻药做顶边液压分离,分离膀胱与腹膜囊,手术时间短,安全可靠。现介绍如下。手术步骤 1.向膀胱内注入生理盐水100～150ml。 2.腹壁全层一次浸润麻醉。局麻药用0.5％普鲁卡因200～300ml+0.1％肾上腺素0.5ml(血压高者不加)。①由耻骨联合上到脐下向皮内注射麻药30ml;②脐下2～3cm处取一点,耻上2cm处取一点,两侧腹直肌外缘上、下各取两点,分别向各点的筋膜下注射麻药达腹膜,其中耻上点处注射20ml,其余 Extraperitoneal cesarean section postoperative non-fasting, early exhaust, rapid recovery and so on. Our hospital since 1970 to carry out this operation, from 1978 to April 1985 a total of 1286 cases of extraperitoneal cesarean section, including the application of the top side of the hydraulic separation method 945 cases. This method under local anesthesia surgery, top anesthesia to do top hydraulic separation, separation of bladder and peritoneal capsule, the operation time is short, safe and reliable. Now introduced as follows. Surgical Procedures 1. Into the bladder injection of saline 100 ~ 150ml. 2. Infiltration of full-thickness abdominal wall anesthesia. Local anesthetic with 0.5% procaine 200 ~ 300ml + 0.1% epinephrine 0.5ml (high blood pressure without). ① from the pubic symphysis on the umbilical to intradermal injection of anesthetic 30ml; ② under the umbilical 2 ~ 3cm take a little shame on the 2cm take a little on both sides of the rectus abdominis on both sides, take two points, respectively, to each Point subfascial injection of anesthetic up to the peritoneum, which shame point injection 20ml, the rest