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妇产科小手术 MINOR OPERATIONS OF GYNECOLOGY AND OBSTETRICS 3

一、外阴手术 Operations of Vulva 3

图1-1 外阴活检 Vulval Biopsy 3

图1-2 小阴唇粘连分离术 Dissection of Synechia in Labium Minor 5

图1-3 外阴良性肿瘤切除术 Excision of Vulvar Benign Tumor 7

图1-4 尿道肉阜切除术 Excision of Urethral Caruncle 9

图1-5 尿道旁腺囊肿切除术 Excision of Urethral Bulbourethral Gland Cyst 11

图1-6 无孔处女膜切开术 Incision of Imperforate Hymen 13

图1-7 陈旧性会阴三度裂伤修补术 Repair of Obsolete Third Degree Tear 15

图1-8 前庭大腺脓肿切开引流术 Incision and Rainage of Bartholin s Gland Abscess 18

图1-9 前庭大腺囊肿袋状缝合术 Marsupialization of Bartholin s Cyst 20

图1-10 前庭大腺囊肿切除术 Excision of Bartholin s Cyst 22

二、阴道手术 Operations of Vagina 25

图1-11 阴道口狭窄切开术 Incision of Stricture in Vigina 25

图1-12 阴道隔切除术 Excision of Septum in Vagina 28

图1-13 阴道良性肿瘤切除术 Excision of Vaginal Benign Tumor 30

图1-14 后穹窿穿刺术 Culdocentesais 33

图1-15 后穹窿切开术 Incision of Posterior Fornix 35

图1-16 粘膜下子宫肌瘤摘除术 Excision of Submucous Myoma 38

图1-17 宫颈组织活检术 Cervical Biopsy 40

三、宫颈手术 Operations of Cervix 40

图1-18 宫颈息肉摘除术 Excision of Cervical Polyps 42

图1-19 宫颈电熨或激光烧灼术 Electrocauterization or Laser of Cervix 44

图1-20 宫颈锥形切除术 Conization of Cervix 46

图1-21 宫颈部分切除术 Excision of Partial Cervix 48

图1-22 宫颈残断切除术 Exicision of Remnant Cervix 52

图1-23 宫颈裂伤修补术 Repair of Laceration of Cervix 57

图1-24 妊娠期宫颈缝合术 Trachelorrhaphy in Pregnancy 59

四、宫腔手术 Operations of Uterine Cavity 60

图1-25 妊娠期宫颈内口环扎术 Shiradkar-barter in Pregnancy 61

图1-26 宫颈扩张术 Dilatation of Cervix 64

图1-27 刮宫术 Curettage 66

五、输卵管通畅试验 Unobstructive Test of Fallopian Tube 68

图1-28 输卵管通气术 Rubin Test 68

图1-29 输卵管通液术 Hydrotubation 71

图1-30 输卵管碘油造影术 Hystero-Salpingography 73

计划生育手术 OPERATIONS OF FAMILY PLANNING 79

一、宫内节育器的放置及取出 Insertion or Removal of Intrauterine Contraceptive Device 79

图2-1 宫内节育器放置术 Insertion of Intrauterine Contraceptive Device 79

图2-2 宫内节育器取出术 Removal of Intrauterine Contraceptive Device 83

二、早期妊娠终止术 Termination on First Trimester Pregnancy 85

图2-3 负压吸引人工流产术 Suction Abortion 85

图2-4 钳刮术 Forceps Curettage 88

三、中期妊娠引产术 Termination on Second Trimester Pregnancy 90

图2-5 药物中期妊娠引产术 Termination on Second Trimester Pregnancy by Medicine 90

图2-6 水囊中期妊娠引产术 Induction of Abortion by Water Sca 93

图2-7 小型剖宫取胎术 Hysterotomy 95

四、输卵管手术 Tubal Surgery 98

图2-8 输卵管结扎术 Tubal Ligation 98

图2-9 输卵管药物粘堵术 Fallopian Tube Drug Adhesive Obstraction 111

图2-10 输卵管复通术 Salpingostomy 113

图2-11 减胎术 Operation of Reduce Embryo 120

图2-12 后穹窿穿刺取卵术 Operation of Abstracting Follicles by Culdocentesais 122

妇科手术 OPERATIONS OF GYNECOLOGY 127

一、外阴手术 Operations of Vulva 127

图3-1 外阴恶性肿瘤手术 Operation of Vulvar Malignant Tumor 127

二、阴道手术和经阴道手术 Vaginal Operations and Operations Per Vaginam 136

图3-2 单纯尿道阴道瘘修补术 Repair of Simple Urethro-vaginal Fistula 136

附 单纯膀胱阴道瘘修补术 Repair of Simple Vesicovaginal Fistula 137

图3-3 巨型膀胱阴道瘘修补术 Repair of Large Vesicovaginal Fistula 139

图3-4 直肠阴道瘘修补术 Repair of Rectovaginal Fistula 143

图3-5 子宫阴道瘘修补术 Repair of Uterovaginal Fistula 146

图3-6 输尿管阴道瘘修补术 Repair of Ureterovaginal Fistula 148

图3-7 耻骨上膀胱造口术 Superapubic Vesicostomy 151

图3-8 尿道断裂或缺损修补术 Urethrosynthesis or Urethroplasty 155

图3-9 张力性尿失禁手术 Operation of Stress Urinary Incontinence 155

图3-10 先天无阴道手术 Operation of Congenital Absence of Vagina 160

盆腔腹膜代阴道成形术 Vaginoplasty with Pelvic Peritoneum 160

皮瓣阴道成形术 Vaginoplasty with Split-skin Graft 161

乙状结肠代阴道成形术 Vaginoplasty with Sigmoid 161

图3-11 阴道闭合术 Colpoeleisis 167

图3-12 广泛阴道切除术 Radical Vaginectomy 170

图3-13 经阴道子宫切除术 Vaginal Hysterectomy 172

图3-14 经阴道子宫切除加阴道前后壁修补术 Vaginal Hysterectomy and Anterior and Posterior Corporraphy 176

图3-15 子宫颈部分切除加阴道前后壁修补术 Manchester Operation 180

三、腹部手术 Abdominal Operations 183

图3-16 输卵管切除术 Fallotomy(Salpingectomy) 183

图3-17 输卵管卵巢切除术 Adnexectomy 185

图3-18 输卵管妊娠保守性手术 Conservative Operation of Tubal Pregnancy 187

图3-19 卵巢肿瘤剥离术 Oophorocystectomy 189

图3-20 卵巢肿瘤楔形切除术 Cuneiform Oophorectomy 191

图3-21 子宫切除术加附件切除术 Total Hysterosalpingo-oophorectomy 193

图3-22 次全子宫切除术及附件切除术 Subtotal Hysterosalpingo-oophorectomy 197

图3-23 筋膜内全子宫切除术 Intrafascia Total Hysterectomy 199

图3-24 子宫内膜异位症保守手术 Conservative Operation of Endometriosis 202

附 子宫骶韧带切断术 Uterosacral Ligament Amputation 205

图3-25 子宫内膜异位症半保守手术 Semiconservative Operation of Endometriosis 207

图3-26 子宫肌瘤挖除术 Myomectomy 209

图3-27 阔韧带肌瘤挖除术 Intraligament Myomectomy 212

图3-28 子宫颈肌瘤挖除术 Myomectomy of Cervix 215

图3-29 纵隔子宫成形术 Uteroplasty for Uterus Septus 218

图3-30 残角子宫切除术 Operation for Rudimentary Horn of Uterus 221

图3-31 次广泛子宫切除术 Subradical Hysterectomy 223

图3-32 子宫颈癌根治术 Extraperitoneal Pelvic Lymphadenectomy and Radical Hysterectomy for Cer-vical Carcinoma 227

图3-33 腹膜内林巴结清扫术 Intraperitoneal Pelvic Lymphadenecto-my 235

图3-34 腹主动脉旁淋巴结清扫术 Para-aortic Lymphadenectomy 237

图3-35 卵巢癌肿瘤细胞灭减术 Ovary Tumor Rebulking Operation 240

一、引产与催产术 Induction and Stimulation of Labour 245

图4-1 乳房按摩引产与催产术 Induction and Stimulation by Breast Massage 245

产科手术 OPERATIONS OF OBSTETRIC 245

图4-2 人工剥膜与破膜术 Artificial Stripping and Rupture of Membranes 247

人工剥膜术 Artificial Stripping Membranes 247

人工破膜术 Artificial Rupture of Membranes 247

附 低位水囊引产术 Low Ballom Induction 248

图4-3 手法扩张宫颈术 Manual Cervix Dilatation 250

图4-4 气囊扩张宫颈及阴道术 Cervix-vagina Dilatation by Air 252

二、转胎术 Version 254

图4-5 外倒转术 External Version 254

足位内倒转术 Podalic Internal Version 259

图4-6 内倒转术 Internal Version 259

手转胎头术 Manual Ratalion of Fetal Head 260

三、会阴、宫颈切开缝合术 Episiotomy and Cervicotomy 265

图4-7 会阴切开缝合术 Episiotomy and Its Repair 265

图4-8 宫颈切开缝合术 Cervicotomy and Its Repair 270

四、臀位牵引术 Breech Extraction 272

图4-9 臀位(完全)牵引术 Complete Breech Extraction 272

图4-10 臀位助产生 Breech Assisted Delivery 281

五、胎头吸引术与产钳术 Vacuum Extraction of Fetal Head and Forceps Delivery 284

图4-11 胎头吸引术 Vacuum Extraction of Fetal Head 284

图4-12 产钳术 Forceps Delivery 289

六、肩难产助产术、头皮钳牵引术与脐带脱垂的手术处理 Operation for Shoulder Dystocia,Scalp Traction with Willett Forceps and Operative Management of Prolapse of Cord 303

图4-13 肩难产助产术 Operation for Shoulder Dystocia 303

图4-14 头皮钳牵引术 Scalp Traction with Willett Forceps 308

图4-15 脐带脱垂的手术处理 Operative Management of Prolapse of Cord 310

七、剖宫产术 Cesarean Section 312

图4-16 子宫下段剖宫产术 Lower Segment Cesarean Section 312

图4-17 子宫体部剖宫产术 Uterine Body Cesarean Section 322

图4-18 腹膜外剖宫产术 Extraperitoneal Cesarean Section 325

图4-19 经阴道徒手复位术 Vaginal Manual Reposition 332

八、子宫内翻复位术 Uterus Inversion Reposition 332

图4-20 经腹鼠齿钳牵拉子宫复位术 Abdominal Reposition by Traction with Allis Clamps(Huntington Operation) 334

图4-21 经腹子宫壁切开复位术 Abdominal Reposition by Incision of the Uterus Wall 336

图4-22 经阴道子宫壁切开复位术 Vaginal Reposition by Incision of the Uterus Wall 339

图4-23 经阴道次全子宫切除术 Vaginal Inversion of the Uterus Subtotal Hysterectomy 343

附 经阴道内翻子宫全切除术 Vaginal Inversion of Uterus Complete Hysterectomy 343

发、毁胎术 Destructive Operation 346

图4-24 穿颅术 Craniotomy 346

图4-25 断头术 Decapitation 353

图4-26 除脏术 Evisceration 361

图4-27 断头、除脏术 Decapition and Evisceration 363

图4-28 锁骨切除术与脊柱切除术 Clavicale and Spinal Amputation 365

锁骨切断术 Clavicale Amputation 365

脊柱切断术 Spinal Amputation 365

十、产科损伤的手术处理 Operation Management of Obstetrical Traumas 367

图4-29 会阴裂伤修补术 Coloperineal Laceration Repair 367

图4-30 宫颈裂伤修补术 Cervical Laceration Repair 373

图4-31 产后产道血肿清除术 Postpartum Hematoma of the Birth Canal Cleaning 375

图4-32 子宫破裂修补术 Repairing Repture of Uterines 378

图4-33 子宫按摩与压迫术 Uterus Massage and Compression 380

十一、产后出血的手术处理 Operative Management of Postpartum Hemorrhage 380

图4-34 穹窿纱布块填塞术 Fornix Pack with Gauze Pad 382

图4-35 子宫腔纱布填塞术 Intra-uterine Pack with Sterillized Gauze 384

图4-36 子宫全肌层局部缝扎术 Total Myometrium Partial Ligation 387

图4-37 人工胎盘剥离术 Manual Seperation of Placenta 389

图4-38 动脉结扎术 Artery Ligation 392

子宫动脉上行支结扎术 Uterine Ascending Branch Ligation 392

子宫卵巢动脉吻合术和卵巢动脉结扎术 Ligation of Ovarian and Utero-ovarian Artery 392

髂内动脉结扎术 Ligation of Arteria Iliace Interna 393

子宫动脉结扎术 Ligation of Uterine Artery 393

附 子宫切除术 Hysterectomy 394