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jin mo nei ding ce fen li fa fu mo wai po gong chan shu ( fu 540 li fen xi )
Author(s): 
Pages: 20-23
Year: Issue:  2
Journal: Qinghai Medical Journal

Keyword:  筋膜内顶侧分离法腹膜外剖宫产;
Abstract: 本术式系于膀胱前筋膜下,沿膀胱左侧顶边缘直接找到反折腹膜缘。由腹膜反折外缘在宫颈前筋膜及膀胱后筋膜之间潜行向右侧分离,形成膀胱腹膜桥。略侧翻膀胱,在直视下向上推离腹膜反折。断扎腹横筋膜残余部分,分离宫颈前筋膜,可充分暴露子宫下段。本术式的优点是避免膀胱及输尿管损伤,下段暴露宽阔,剥离面小,能防止侧窝炎的发生,手术简单易学,手术时间短,应用广泛。
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