腹腔鏡輸尿管切開取石術(shù)課件

課程題目:腹腔鏡輸尿管切開取石術(shù)內(nèi)容提要:腹腔鏡輸尿管切開取石術(shù)適應(yīng)證和手術(shù)相關(guān)問題考核題目:腹腔镋輸尿管切開取石術(shù)的適應(yīng)證,下列哪種說法不正確因結(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取石的適應(yīng)證1.上段2.中段3.下段4.全部都是課程題目:腹腔鏡輸尿管切開取石術(shù)1腹腔鏡輸尿管切開取石術(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腹腔鏡輸尿管切開取石術(shù)2輸1Duodenum2Ureter3Psoas尿管腹腔段的解剖4nferiormesentericartery25Testicular/ovarianarteryandvein6Genitofemoralsnerve:femoralandgenitalbiranches7Sigmoida8Superiorrectaartery輸31Ureter2CommoniliacarterySuperiorhypogastric輸尿管盆腔段的解plexus4Externaliliacarter5Internaliliac6Testiculararteryandvei7SigmoidarteriesandveinsSuperiorrectalarteryandvein9Hypogastricnerve10Middlerectalartery11Genitofemoralnerve12Arterytovasdeferens13Inferiorhypogastric(pelvic)plexi14Inferiorvesicalarteryveinandvesicalplexus些15Superiorvesicalartery1Ureter41Ureter2Commoniliacartery尿Superiorhypogastricplexus管4Externaliliacarter5Internaliliacarte盆6Ovarianrarteryandvein腔7SigmoidarteriesandveinsSuperiorrectalarteryand的vein9Hypogastricnerve解10Middlerectalartery11Genitofemoralnerve剖12Uterinearteryandveins13Inferiorhypogastric(pelvic)plexi女14Inferiorvesicalartery陛veinandvesicalplexus15Superiorvesicalartery1Ureter5Gerota'sfasciaGerota'sfascia6Renal輸尿管的血供GonadalAortaCommoniliacInternaliliacSuperiorvesicalUterineMiddlerectalInferiorvesicalRenal71Muce2Musclecoat輸3Adventitia4Mesoureter尿5Supplyingarteryandvein6Adventitialvascularplexus血7Perforati8arteries8Mvascularplexus1Muce8尿管的分段尿管的分段9輸尿管結(jié)石的冶療方法ESWLURSPCNL(L4以上)開放手術(shù)腹腔鏡手術(shù)(LUL)藥物治療與等待觀察8(≤5mm)輸尿管結(jié)石的冶療方法10腹腔鏡輸尿管切開取石術(shù)課件11腹腔鏡輸尿管切開取石術(shù)課件12腹腔鏡輸尿管切開取石術(shù)課件13腹腔鏡輸尿管切開取石術(shù)課件14腹腔鏡輸尿管切開取石術(shù)課件15腹腔鏡輸尿管切開取石術(shù)課件16腹腔鏡輸尿管切開取石術(shù)課件17腹腔鏡輸尿管切開取石術(shù)課件18腹腔鏡輸尿管切開取石術(shù)課件19腹腔鏡輸尿管切開取石術(shù)課件20腹腔鏡輸尿管切開取石術(shù)課件21腹腔鏡輸尿管切開取石術(shù)課件22腹腔鏡輸尿管切開取石術(shù)課件23腹腔鏡輸尿管切開取石術(shù)課件24腹腔鏡輸尿管切開取石術(shù)課件25腹腔鏡輸尿管切開取石術(shù)課件26腹腔鏡輸尿管切開取石術(shù)課件27腹腔鏡輸尿管切開取石術(shù)課件28腹腔鏡輸尿管切開取石術(shù)課件29腹腔鏡輸尿管切開取石術(shù)課件30腹腔鏡輸尿管切開取石術(shù)課件31腹腔鏡輸尿管切開取石術(shù)課件32腹腔鏡輸尿管切開取石術(shù)課件33腹腔鏡輸尿管切開取石術(shù)課件34腹腔鏡輸尿管切開取石術(shù)課件35腹腔鏡輸尿管切開取石術(shù)課件36腹腔鏡輸尿管切開取石術(shù)課件37腹腔鏡輸尿管切開取石術(shù)課件38腹腔鏡輸尿管切開取石術(shù)課件39腹腔鏡輸尿管切開取石術(shù)課件40腹腔鏡輸尿管切開取石術(shù)課件41腹腔鏡輸尿管切開取石術(shù)課件42腹腔鏡輸尿管切開取石術(shù)課件43腹腔鏡輸尿管切開取石術(shù)課件44腹腔鏡輸尿管切開取石術(shù)課件45腹腔鏡輸尿管切開取石術(shù)課件46腹腔鏡輸尿管切開取石術(shù)課件47腹腔鏡輸尿管切開取石術(shù)課件48腹腔鏡輸尿管切開取石術(shù)課件49腹腔鏡輸尿管切開取石術(shù)課件50腹腔鏡輸尿管切開取石術(shù)課件51腹腔鏡輸尿管切開取石術(shù)課件52腹腔鏡輸尿管切開取石術(shù)課件53腹腔鏡輸尿管切開取石術(shù)課件54腹腔鏡輸尿管切開取石術(shù)課件55腹腔鏡輸尿管切開取石術(shù)課件56腹腔鏡輸尿管切開取石術(shù)課件57腹腔鏡輸尿管切開取石術(shù)課件58腹腔鏡輸尿管切開取石術(shù)課件59腹腔鏡輸尿管切開取石術(shù)課件60腹腔鏡輸尿管切開取石術(shù)課件61腹腔鏡輸尿管切開取石術(shù)課件62腹腔鏡輸尿管切開取石術(shù)課件63腹腔鏡輸尿管切開取石術(shù)課件64腹腔鏡輸尿管切開取石術(shù)課件65腹腔鏡輸尿管切開取石術(shù)課件66腹腔鏡輸尿管切開取石術(shù)課件67腹腔鏡輸尿管切開取石術(shù)課件68腹腔鏡輸尿管切開取石術(shù)課件69腹腔鏡輸尿管切開取石術(shù)課件70腹腔鏡輸尿管切開取石術(shù)課件71腹腔鏡輸尿管切開取石術(shù)課件72腹腔鏡輸尿管切開取石術(shù)課件73腹腔鏡輸尿管切開取石術(shù)課件74腹腔