论文部分内容阅读
近期作者采用腰部“S”状切口进行肾、输尿管上段手术13例,取得了较好临床效果,现报告如下: 一、手术方法患者侧卧位,术侧朝上,抬高腰桥。切口起自十二肋与骶棘肌交界处,呈“S”状止于髂嵴上缘。分别切开皮肤及皮下组织,并向切口两侧潜行分离2cm。于腰三角部背阔肌和腹外斜肌交界处,钝性分开肌层即达腰背筋膜。沿切口方向剪开腰背筋膜,向上切断腰肋韧带,再将切口另侧腹肌联合腱膜组织横向切开,以便松解切口张力。进入腹膜后间隙,根据手术需要,沿髂嵴向下适当延长切口。牵开
Recently, the authors adopted the waist “S” -like incision in the upper ureter and ureter surgery in 13 cases, and achieved good clinical results are reported as follows: First, the surgical approach in patients with lateral position, the operative side up, raise the lumbar bridge. Incision from the twelve ribs and sacral spine muscle junction, was “S” ended in the upper edge of the iliac crest. Cut the skin and subcutaneous tissue separately, and sneak 2cm away from the incision. In the lumbar triangle latissimus dorsi and abdominal oblique junction, blunt dissection of the muscle that is up to the dorsal fascia. Cut along the incision direction of the back fascia, up the ligament of ligament, and then the other side of the abdominal incision abdominal tissue transverse incision, in order to release the incision tension. Into the retroperitoneal space, according to the needs of surgery, along the iliac crest down properly extend the incision. Retreat