腹腔镜输尿管切开取石术课件

课程题目:腹腔镜输尿管切开取石术内容提要:腹腔镜输尿管切开取石术适应证和手术相关问题考核题目:腹腔镋输尿管切开取石术的适应证,下列哪种说法不正确因结石平片影淡,造成ESWL失败因BPH,造成URS失败大的、高位输尿管上段结石输尿管下段结石治疗的首选方法作为开放手术的替代治疗对于直径大于15m、致密坚硬且导致输尿管完全梗阻的结,以下哪个部位是腹腔镜输尿管切开取石的适应证1.上段2.中段3.下段4.全部都是腹腔镜输尿管切开取石术Laparoscopicureterolithotomy(LUL,LU)复旦大学附属中山医院尿外科孙立安2015.8.11输1Duodenum2Ureter3Psoas尿管腹腔段的解剖4nferiormesentericartery25Testicular/ovarianarteryandvein6Genitofemoralsnerve:femoralandgenitalbiranches7Sigmoida8Superiorrectaartery1Ureter2CommoniliacarterySuperiorhypogastric输尿管盆腔段的解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输尿管的血供GonadalAortaCommoniliacInternaliliacSuperiorvesicalUterineMiddlerectalInferiorvesical1Muce2Musclecoat输3Adventitia4Mesoureter尿5Supplyingarteryandvein6Adventitialvascularplexus血7Perforati8arteries8Mvasc