腹腔鏡輸尿管切開(kāi)取石術(shù)課件

課程題目:腹腔鏡輸尿管切開(kāi)取石術(shù)內(nèi)容提要:腹腔鏡輸尿管切開(kāi)取石術(shù)適應(yīng)證和手術(shù)相關(guān)問(wèn)題考核題目:腹腔镋輸尿管切開(kāi)取石術(shù)的適應(yīng)證,下列哪種說(shuō)法不正確因結(jié)石平片影淡,造成ESWL失敗因BPH,造成URS失敗大的、高位輸尿管上段結(jié)石輸尿管下段結(jié)石治療的首選方法作為開(kāi)放手術(shù)的替代治療對(duì)于直徑大于15m、致密堅(jiān)硬且導(dǎo)致輸尿管完全梗阻的結(jié),以下哪個(gè)部位是腹腔鏡輸尿管切開(kāi)取石的適應(yīng)證1.上段2.中段3.下段4.全部都是腹腔鏡輸尿管切開(kāi)取石術(shù)Laparoscopicureterolithotomy(LUL,LU)復(fù)旦大學(xué)附屬中山醫(yī)院尿外科孫立安2015.8.11輸1Duodenum2Ureter3Psoas尿管腹腔段的解剖4nferiormesentericartery25Testicular/ovarianarteryandvein6Genitofemoralsnerve:femoralandgenitalbiranches7Sigmoida8Superiorrectaartery1Ureter2CommoniliacarterySuperiorhypogastric輸尿管盆腔段的解plexus4Externaliliacarter5Internaliliac6Testiculararteryandvei7SigmoidarteriesandveinsSuperiorrectalarteryandvein9Hypogastricnerve10Middlerectalartery11Genitofemoralnerve12Arterytovasdeferens13Inferiorhypogastric(pelvic)plexi14Inferiorvesicalarteryveinandvesicalplexus些15Superiorvesicalartery1Ureter2Commoniliacartery尿Superiorhypogastricplexus管4Externaliliacarter5Internaliliacarte盆6Ovarianrarteryandvein腔7SigmoidarteriesandveinsSuperiorrectalarteryand的vein9Hypogastricnerve解10Middlerectalartery11Genitofemoralnerve剖12Uterinearteryandveins13Inferiorhypogastric(pelvic)plexi女14Inferiorvesicalartery陛veinandvesicalplexus15SuperiorvesicalarteryGerota'sfasciaRenal輸尿管的血供GonadalAortaCommoniliacInternaliliacSuperiorvesicalUterineMiddlerectalInferiorvesical1Muce2Musclecoat輸3Adventitia4Mesoureter尿5Supplyingarteryandvein6Adventitialvascularplexus血7Perforati8arteries8Mvasc