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腹膜外剖宫产手术操作的关键在于剥离膀胱腹膜及暴露子宫下段这一步骤。为寻找理想的操作方法,我们在 Nortor’s 法和 Water’s 法基础上,就手术方法进行了改造,即采用了膀胱顶一侧联合式腹膜外剖宫产,使手术简单易行。使用本法已手术92例,效果良好。手术指征和(?)忌症手术指征同经腹子宫下段剖宫产术。足月临产或未临产者均可适用。但如有宫腔感染者、前置胎盘大出血、胎盘早剥、子宫先兆破裂及有腹腔探查指征的病例应慎用。手术方法1.腹壁切口同下段剖宫产术。2.切开膀胱前筋膜,于膀胱顶下2cm 偏左侧弧形切开,切开深度以暴露膀胱肌层为度,并将切口向两侧扩大,直达膀胱左侧角.
The key to extraperitoneal caesarean section surgery is to peel the peritoneum of the bladder and expose the lower uterine segment. In order to find the ideal method of operation, we modified the surgical method based on the Nortor’s method and the Water’s method, that is, using the combined extraperitoneal cesarean section on the top side of the bladder to make the operation simple and easy. The use of this law has been 92 cases of surgery, the effect is good. Surgical indications and (?) Avoid indications for surgery with abdominal cesarean section. Full-term labor or non-labor may apply. However, if the uterine infection, placenta previa bleeding, placental abruption, uterine rupture and indications of cases of abdominal exploration should be used with caution. Surgical methods 1. abdominal incision cesarean section with the next paragraph. 2. incision of the anterior bladder fascia, 2cm at the top of the bladder left arc incision, incision depth to expose the bladder muscle for the degree, and the incision to both sides of the expansion, direct access to the left side of the bladder angle.