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随着围产医学少生、优生的发展,剖腹产仍为解决难产不可缺少的方法之一,通过临床实践,深感腹膜外剖腹产优越性确实不少,现就笔者1983年11月至1984年4月作32例谈点体会。一、手术方法采用Norton氏侧边与Waters氏膀胱顶部改良法,简称“侧顶改良法”,于术前留置导尿管,保留小便约150ml,使膀胱轮廓清楚,于耻上腹中线行纵切口长约10—12cm,达筋膜,充分分离腹直肌,不寻找三角区,于膀胱顶部下约2cm,用血管钳提起膀胱前筋膜,剪一小口,两手食指进入分离,边分边剪至左右膀胱侧缘,初学者可作2—3层钳剪,熟练者可作1次打开;再紧靠膀胱左侧缘,膀胱顶下约
With the perinatal medical students, the development of eugenics, caesarean section is still an indispensable method to solve the problem of dystocia, through clinical practice, deep extraperitoneal caesarean superiority is indeed a lot of the author in November 1983 to 1984 4 Month for 32 cases of experience. First, the surgical method using Norton’s side and Waters’s top of the bladder improved method, referred to as “the top of the roof method”, preoperative catheterization, retention of about 150ml of urine, so clear bladder outline in the asymptomatic midline line Incision length of about 10-12cm, up to the fascia, full separation of the rectus abdominis, not looking for triangular area, about 2cm under the top of the bladder, vasoconstrictor forceps were used to lift the bladder, cut a small mouth, hands index finger into the separation, Cut to the left and right side of the bladder, beginners can be used for 2-3 layer pliers scissors, skilled person can be opened once; and then close to the left margin of the bladder, bladder top about