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妇产科小手术 MINOR OPERATIONS OF GYNECOLOGY AND OBSTETRICS3

一、外阴手术 Operations of Vulva3

图1-1 外阴活检 Vulval Biopsy3

图1-2 小阴唇粘连分离术 Dissection of Synechia in Labium Minor5

图1-3 外阴良性肿瘤切除术 Excision of Vulvar Benign Tumor7

图1-4 尿道肉阜切除术 Excision of Urethral Caruncle9

图1-5 尿道旁腺囊肿切除术 Excision of Urethral Bulbourethral Gland Cyst11

图1-6 无孔处女膜切开术 Incision of Imperforate Hymen13

图1-7 陈旧性会阴三度裂伤修补术 Repair of Obsolete Third Degree Tear15

图1-8 前庭大腺脓肿切开引流术 Incision and Rainage of Bartholin s Gland Abscess18

图1-9 前庭大腺囊肿袋状缝合术 Marsupialization of Bartholin s Cyst20

图1-10 前庭大腺囊肿切除术 Excision of Bartholin s Cyst22

二、阴道手术 Operations of Vagina25

图1-11 阴道口狭窄切开术 Incision of Stricture in Vigina25

图1-12 阴道隔切除术 Excision of Septum in Vagina28

图1-13 阴道良性肿瘤切除术 Excision of Vaginal Benign Tumor30

图1-14 后穹窿穿刺术 Culdocentesais33

图1-15 后穹窿切开术 Incision of Posterior Fornix35

图1-16 粘膜下子宫肌瘤摘除术 Excision of Submucous Myoma38

图1-17 宫颈组织活检术 Cervical Biopsy40

三、宫颈手术 Operations of Cervix40

图1-18 宫颈息肉摘除术 Excision of Cervical Polyps42

图1-19 宫颈电熨或激光烧灼术 Electrocauterization or Laser of Cervix44

图1-20 宫颈锥形切除术 Conization of Cervix46

图1-21 宫颈部分切除术 Excision of Partial Cervix48

图1-22 宫颈残断切除术 Exicision of Remnant Cervix52

图1-23 宫颈裂伤修补术 Repair of Laceration of Cervix57

图1-24 妊娠期宫颈缝合术 Trachelorrhaphy in Pregnancy59

四、宫腔手术 Operations of Uterine Cavity60

图1-25 妊娠期宫颈内口环扎术 Shiradkar-barter in Pregnancy61

图1-26 宫颈扩张术 Dilatation of Cervix64

图1-27 刮宫术 Curettage66

五、输卵管通畅试验 Unobstructive Test of Fallopian Tube68

图1-28 输卵管通气术 Rubin Test68

图1-29 输卵管通液术 Hydrotubation71

图1-30 输卵管碘油造影术 Hystero-Salpingography73

计划生育手术 OPERATIONS OF FAMILY PLANNING79

一、宫内节育器的放置及取出 Insertion or Removal of Intrauterine Contraceptive Device79

图2-1 宫内节育器放置术 Insertion of Intrauterine Contraceptive Device79

图2-2 宫内节育器取出术 Removal of Intrauterine Contraceptive Device83

二、早期妊娠终止术 Termination on First Trimester Pregnancy85

图2-3 负压吸引人工流产术 Suction Abortion85

图2-4 钳刮术 Forceps Curettage88

三、中期妊娠引产术 Termination on Second Trimester Pregnancy90

图2-5 药物中期妊娠引产术 Termination on Second Trimester Pregnancy by Medicine90

图2-6 水囊中期妊娠引产术 Induction of Abortion by Water Sca93

图2-7 小型剖宫取胎术 Hysterotomy95

四、输卵管手术 Tubal Surgery98

图2-8 输卵管结扎术 Tubal Ligation98

图2-9 输卵管药物粘堵术 Fallopian Tube Drug Adhesive Obstraction111

图2-10 输卵管复通术 Salpingostomy113

图2-11 减胎术 Operation of Reduce Embryo120

图2-12 后穹窿穿刺取卵术 Operation of Abstracting Follicles by Culdocentesais122

妇科手术 OPERATIONS OF GYNECOLOGY127

一、外阴手术 Operations of Vulva127

图3-1 外阴恶性肿瘤手术 Operation of Vulvar Malignant Tumor127

二、阴道手术和经阴道手术 Vaginal Operations and Operations Per Vaginam136

图3-2 单纯尿道阴道瘘修补术 Repair of Simple Urethro-vaginal Fistula136

附 单纯膀胱阴道瘘修补术 Repair of Simple Vesicovaginal Fistula137

图3-3 巨型膀胱阴道瘘修补术 Repair of Large Vesicovaginal Fistula139

图3-4 直肠阴道瘘修补术 Repair of Rectovaginal Fistula143

图3-5 子宫阴道瘘修补术 Repair of Uterovaginal Fistula146

图3-6 输尿管阴道瘘修补术 Repair of Ureterovaginal Fistula148

图3-7 耻骨上膀胱造口术 Superapubic Vesicostomy151

图3-8 尿道断裂或缺损修补术 Urethrosynthesis or Urethroplasty155

图3-9 张力性尿失禁手术 Operation of Stress Urinary Incontinence155

图3-10 先天无阴道手术 Operation of Congenital Absence of Vagina160

盆腔腹膜代阴道成形术 Vaginoplasty with Pelvic Peritoneum160

皮瓣阴道成形术 Vaginoplasty with Split-skin Graft161

乙状结肠代阴道成形术 Vaginoplasty with Sigmoid161

图3-11 阴道闭合术 Colpoeleisis167

图3-12 广泛阴道切除术 Radical Vaginectomy170

图3-13 经阴道子宫切除术 Vaginal Hysterectomy172

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 Corporraphy176

图3-15 子宫颈部分切除加阴道前后壁修补术 Manchester Operation180

三、腹部手术 Abdominal Operations183

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

图3-17 输卵管卵巢切除术 Adnexectomy185

图3-18 输卵管妊娠保守性手术 Conservative Operation of Tubal Pregnancy187

图3-19 卵巢肿瘤剥离术 Oophorocystectomy189

图3-20 卵巢肿瘤楔形切除术 Cuneiform Oophorectomy191

图3-21 子宫切除术加附件切除术 Total Hysterosalpingo-oophorectomy193

图3-22 次全子宫切除术及附件切除术 Subtotal Hysterosalpingo-oophorectomy197

图3-23 筋膜内全子宫切除术 Intrafascia Total Hysterectomy199

图3-24 子宫内膜异位症保守手术 Conservative Operation of Endometriosis202

附 子宫骶韧带切断术 Uterosacral Ligament Amputation205

图3-25 子宫内膜异位症半保守手术 Semiconservative Operation of Endometriosis207

图3-26 子宫肌瘤挖除术 Myomectomy209

图3-27 阔韧带肌瘤挖除术 Intraligament Myomectomy212

图3-28 子宫颈肌瘤挖除术 Myomectomy of Cervix215

图3-29 纵隔子宫成形术 Uteroplasty for Uterus Septus218

图3-30 残角子宫切除术 Operation for Rudimentary Horn of Uterus221

图3-31 次广泛子宫切除术 Subradical Hysterectomy223

图3-32 子宫颈癌根治术 Extraperitoneal Pelvic Lymphadenectomy and Radical Hysterectomy for Cer-vical Carcinoma227

图3-33 腹膜内林巴结清扫术 Intraperitoneal Pelvic Lymphadenecto-my235

图3-34 腹主动脉旁淋巴结清扫术 Para-aortic Lymphadenectomy237

图3-35 卵巢癌肿瘤细胞灭减术 Ovary Tumor Rebulking Operation240

一、引产与催产术 Induction and Stimulation of Labour245

图4-1 乳房按摩引产与催产术 Induction and Stimulation by Breast Massage245

产科手术 OPERATIONS OF OBSTETRIC245

图4-2 人工剥膜与破膜术 Artificial Stripping and Rupture of Membranes247

人工剥膜术 Artificial Stripping Membranes247

人工破膜术 Artificial Rupture of Membranes247

附 低位水囊引产术 Low Ballom Induction248

图4-3 手法扩张宫颈术 Manual Cervix Dilatation250

图4-4 气囊扩张宫颈及阴道术 Cervix-vagina Dilatation by Air252

二、转胎术 Version254

图4-5 外倒转术 External Version254

足位内倒转术 Podalic Internal Version259

图4-6 内倒转术 Internal Version259

手转胎头术 Manual Ratalion of Fetal Head260

三、会阴、宫颈切开缝合术 Episiotomy and Cervicotomy265

图4-7 会阴切开缝合术 Episiotomy and Its Repair265

图4-8 宫颈切开缝合术 Cervicotomy and Its Repair270

四、臀位牵引术 Breech Extraction272

图4-9 臀位(完全)牵引术 Complete Breech Extraction272

图4-10 臀位助产生 Breech Assisted Delivery281

五、胎头吸引术与产钳术 Vacuum Extraction of Fetal Head and Forceps Delivery284

图4-11 胎头吸引术 Vacuum Extraction of Fetal Head284

图4-12 产钳术 Forceps Delivery289

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 Cord303

图4-13 肩难产助产术 Operation for Shoulder Dystocia303

图4-14 头皮钳牵引术 Scalp Traction with Willett Forceps308

图4-15 脐带脱垂的手术处理 Operative Management of Prolapse of Cord310

七、剖宫产术 Cesarean Section312

图4-16 子宫下段剖宫产术 Lower Segment Cesarean Section312

图4-17 子宫体部剖宫产术 Uterine Body Cesarean Section322

图4-18 腹膜外剖宫产术 Extraperitoneal Cesarean Section325

图4-19 经阴道徒手复位术 Vaginal Manual Reposition332

八、子宫内翻复位术 Uterus Inversion Reposition332

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 Wall336

图4-22 经阴道子宫壁切开复位术 Vaginal Reposition by Incision of the Uterus Wall339

图4-23 经阴道次全子宫切除术 Vaginal Inversion of the Uterus Subtotal Hysterectomy343

附 经阴道内翻子宫全切除术 Vaginal Inversion of Uterus Complete Hysterectomy343

发、毁胎术 Destructive Operation346

图4-24 穿颅术 Craniotomy346

图4-25 断头术 Decapitation353

图4-26 除脏术 Evisceration361

图4-27 断头、除脏术 Decapition and Evisceration363

图4-28 锁骨切除术与脊柱切除术 Clavicale and Spinal Amputation365

锁骨切断术 Clavicale Amputation365

脊柱切断术 Spinal Amputation365

十、产科损伤的手术处理 Operation Management of Obstetrical Traumas367

图4-29 会阴裂伤修补术 Coloperineal Laceration Repair367

图4-30 宫颈裂伤修补术 Cervical Laceration Repair373

图4-31 产后产道血肿清除术 Postpartum Hematoma of the Birth Canal Cleaning375

图4-32 子宫破裂修补术 Repairing Repture of Uterines378

图4-33 子宫按摩与压迫术 Uterus Massage and Compression380

十一、产后出血的手术处理 Operative Management of Postpartum Hemorrhage380

图4-34 穹窿纱布块填塞术 Fornix Pack with Gauze Pad382

图4-35 子宫腔纱布填塞术 Intra-uterine Pack with Sterillized Gauze384

图4-36 子宫全肌层局部缝扎术 Total Myometrium Partial Ligation387

图4-37 人工胎盘剥离术 Manual Seperation of Placenta389

图4-38 动脉结扎术 Artery Ligation392

子宫动脉上行支结扎术 Uterine Ascending Branch Ligation392

子宫卵巢动脉吻合术和卵巢动脉结扎术 Ligation of Ovarian and Utero-ovarian Artery392

髂内动脉结扎术 Ligation of Arteria Iliace Interna393

子宫动脉结扎术 Ligation of Uterine Artery393

附 子宫切除术 Hysterectomy394