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自1821年德国Von Ritgen首先尝试腹膜外剖宫产术以来,至今已达160余年。当时之所以对腹膜外剖宫产感兴趣,主要是可避免发生腹膜炎。国内在1954年以前,腹膜外剖宫产术仅报道54例。此后,采用此手术者渐趋增加,其适应范围也有所扩大。本文主要介绍与手术有关的一些问题,并对本术式提出粗浅看法。术式腹膜外剖宫产术至少有10余种术式,但大致上可分为二类:膀胱侧方进入法和膀胱顶进入法。Bourgeo(?)和phaneuf认为以Latzko为代表的侧入法,由于从一侧膀胱侧窝进行解剖,子宫下段暴露面不够大,损伤腹膜、膀胱甚至输尿管的机会增多;Waters为代表的顶入法,先从解剖最困难的膀胱顶部着手,再进入两侧膀胱侧窝,暴露面虽大但手术较困难。他
Since 1821, Von Ritgen, Germany first tried extraperitoneal cesarean section has been more than 160 years. The reason why extraperitoneal cesarean section was interested, mainly to prevent peritonitis. Domestic before 1954, extraperitoneal cesarean section only reported 54 cases. Since then, the use of this surgeon has gradually increased, and its adaptation has also been expanded. This article describes some of the issues related to surgery, and proposed a superficial view of this technique. Surgical extraperitoneal cesarean section at least 10 kinds of surgical procedures, but can be broadly divided into two categories: the side of the bladder into the law and the top of the bladder into the law. Bourgeo (?) And phaneuf think latzko as the representative of the lateral approach, due to dissection from the side of the bladder, lower uterine segment exposure is not big enough to damage the peritoneum, bladder or ureter opportunities; Waters as the representative of the top law , First from the dissection of the most difficult to proceed the top of the bladder, and then into the side of the bladder on the side of the nest, although the exposed surface is large but more difficult surgery. he