課程題目:腹腔鏡輸尿管切開取石術內容提要:腹腔鏡輸尿管切開取石術適應證和手術相關問題考核題目:腹腔镋輸尿管切開取石術的適應證,下列哪種說法不正確因結石平片影淡,造成ESWL失敗因BPH,造成URS失敗大的、高位輸尿管上段結石輸尿管下段結石治療的首選方法作為開放手術的替代治療對于直徑大于15m、致密堅硬且導致輸尿管完全梗阻的結,以下哪個部位是腹腔鏡輸尿管切開取石的適應證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1腹腔鏡輸尿管切開取石術Laparoscopicureterolithotomy(LUL,LU)復旦大學附屬中山醫院尿外科孫立安2015.8.11腹腔鏡輸尿管切開取石術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輸尿管結石的冶療方法ESWLURSPCNL(L4以上)開放手術腹腔鏡手術(LUL)藥物治療與等待觀察8(≤5mm)輸尿管結石的冶療方法10腹腔鏡輸尿管切開取石術課件11腹腔鏡輸尿管切開取石術課件12腹腔鏡輸尿管切開取石術課件13腹腔鏡輸尿管切開取石術課件14腹腔鏡輸尿管切開取石術課件15腹腔鏡輸尿管切開取石術課件16腹腔鏡輸尿管切開取石術課件17腹腔鏡輸尿管切開取石術課件18腹腔鏡輸尿管切開取石術課件19腹腔鏡輸尿管切開取石術課件20腹腔鏡輸尿管切開取石術課件21腹腔鏡輸尿管切開取石術課件22腹腔鏡輸尿管切開取石術課件23腹腔鏡輸尿管切開取石術課件24腹腔鏡輸尿管切開取石術課件25腹腔鏡輸尿管切開取石術課件26腹腔鏡輸尿管切開取石術課件27腹腔鏡輸尿管切開取石術課件28腹腔鏡輸尿管切開取石術課件29腹腔鏡輸尿管切開取石術課件30腹腔鏡輸尿管切開取石術課件31腹腔鏡輸尿管切開取石術課件32腹腔鏡輸尿管切開取石術課件33腹腔鏡輸尿管切開取石術課件34腹腔鏡輸尿管切開取石術課件35腹腔鏡輸尿管切開取石術課件36腹腔鏡輸尿管切開取石術課件37腹腔鏡輸尿管切開取石術課件38腹腔鏡輸尿管切開取石術課件39腹腔鏡輸尿管切開取石術課件40腹腔鏡輸尿管切開取石術課件41腹腔鏡輸尿管切開取石術課件42腹腔鏡輸尿管切開取石術課件43腹腔鏡輸尿管切開取石術課件44腹腔鏡輸尿管切開取石術課件45腹腔鏡輸尿管切開取石術課件46腹腔鏡輸尿管切開取石術課件47腹腔鏡輸尿管切開取石術課件48腹腔鏡輸尿管切開取石術課件49腹腔鏡輸尿管切開取石術課件50腹腔鏡輸尿管切開取石術課件51腹腔鏡輸尿管切開取石術課件52腹腔鏡輸尿管切開取石術課件53腹腔鏡輸尿管切開取石術課件54腹腔鏡輸尿管切開取石術課件55腹腔鏡輸尿管切開取石術課件56腹腔鏡輸尿管切開取石術課件57腹腔鏡輸尿管切開取石術課件58腹腔鏡輸尿管切開取石術課件59腹腔鏡輸尿管切開取石術課件60腹腔鏡輸尿管切開取石術課件61腹腔鏡輸尿管切開取石術課件62腹腔鏡輸尿管切開取石術課件63腹腔鏡輸尿管切開取石術課件64腹腔鏡輸尿管切開取石術課件65腹腔鏡輸尿管切開取石術課件66腹腔鏡輸尿管切開取石術課件67腹腔鏡輸尿管切開取石術課件68腹腔鏡輸尿管切開取石術課件69腹腔鏡輸尿管切開取石術課件70腹腔鏡輸尿管切開取石術課件71腹腔鏡輸尿管切開取石術課件72腹腔鏡輸尿管切開取石術課件73腹腔鏡輸尿管切開取石術課件74腹腔鏡輸尿管切開取石術課件75腹腔鏡輸尿管切開取石術課件76腹腔鏡輸尿管切開取石術課件77腹腔鏡輸尿管切開取石術課件78腹腔鏡輸尿管切開取石術課件79腹腔鏡輸尿管切開取石術課件80腹腔鏡輸尿管切開取石術課件81腹腔鏡輸尿管切開取石術課件82腹腔鏡輸尿管切開取石術課件83課程題目:腹腔鏡輸尿管切開取石術內容提要:腹腔鏡輸尿管切開取石術適應證和手術相關問題考核題目:腹腔镋輸尿管切開取石術的適應證,下列哪種說法不正確因結石平片影淡,造成ESWL失敗因BPH,造成URS失敗大的、高位輸尿管上段結石輸尿管下段結石治療的首選方法作為開放手術的替代治療對于直徑大于15m、致密堅硬且導致輸尿管完全梗阻的結,以下哪個部位是腹腔鏡輸尿管切開取石的適應證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84腹腔鏡輸尿管切開取石術Laparoscopicureterolithotomy(LUL,LU)復旦大學附屬中山醫院尿外科孫立安2015.8.11腹腔鏡輸尿管切開取石術85輸1Duodenum2Ureter3Psoas尿管腹腔段的解剖4nferiormesentericartery25Testicular/ovarianarteryandvein6Genitofemoralsnerve:femoralandgenitalbiranches7Sigmoida8Superiorrectaartery輸861Ureter2CommoniliacarterySuperiorhypogastric輸尿管盆腔段的解plexus4Externaliliacarter5Internaliliac6Testiculararteryandvei7SigmoidarteriesandveinsSuperiorrectalarteryandvein9Hypogastricnerve10Middlerectalartery11Genitofemoralnerve12Arterytovasdeferens13Inferiorhypogastric(pelvic)plexi14Inferiorvesicalarteryveinandvesicalplexus些15Superiorvesicalartery1Ureter871Ureter2Commoniliacartery尿Superiorhypogastricplexus管4Externaliliacarter5Internaliliacarte盆6Ovarianrarteryandvein腔7SigmoidarteriesandveinsSuperiorrectalarteryand的vein9Hypogastricnerve解10Middlerectalartery11Genitofemoralnerve剖12Uterinearteryandveins13Inferiorhypogastric(pelvic)plexi女14Inferiorvesicalartery陛veinandvesicalplexus15Superiorvesicalartery1Ureter88Gerota'sfasciaGerota'sfascia89Renal輸尿管的血供GonadalAortaCommoniliacInternaliliacSuperiorvesicalUterineMiddlerectalInferiorvesicalRenal901Muce2Musclecoat輸3Adventitia4Mesoureter尿5Supplyingarteryandvein6Adventitialvascularplexus血7Perforati8arteries8Mvascularplexus1Muce91尿管的分段尿管的分段92輸尿管結石的冶療方法ESWLURSPCNL(L4以上)開放手術腹腔鏡手術(LUL)藥物治療與等待觀察8(≤5mm)輸尿管結石的冶療方法93腹腔鏡輸尿管切開取石術課件94腹腔鏡輸尿管切開取石術課件95腹腔鏡輸尿管切開取石術課件96腹腔鏡輸尿管切開取石術課件97腹腔鏡輸尿管切開取石術課件98腹腔鏡輸尿管切開取石術課件99腹腔鏡輸尿管切開取石術課件100腹腔鏡輸尿管切開取石術課件101腹腔鏡輸尿管切開取石術課件102腹腔鏡輸尿管切開取石術課件103腹腔鏡輸尿管切開取石術課件104腹腔鏡輸尿管切開取石術課件105腹腔鏡輸尿管切開取石術課件106腹腔鏡輸尿管切開取石術課件107腹腔鏡輸尿管切開取石術課件108腹腔鏡輸尿管切開取石術課件109腹腔鏡輸尿管切開取石術課件110腹腔鏡輸尿管切開取石術課件111腹腔鏡輸尿管切開取石術課件112腹腔鏡輸尿管切開取石術課件113腹腔鏡輸尿管切開取石術課件114腹腔鏡輸尿管切開取石術課件115腹腔鏡輸尿管切開取石術課件116腹腔鏡輸尿管切開取石術課件117腹腔鏡輸尿管切開取石術課件118腹腔鏡輸尿管切開取石術課件119腹腔鏡輸尿管切開取石術課件120腹腔鏡輸尿管切開取石術課件121腹腔鏡輸尿管切開取石術課件122腹腔鏡輸尿管切開取石術課件123腹腔鏡輸尿管切開取石術課件124腹腔鏡輸尿管切開取石術課件125腹腔鏡輸尿管切開取石術課件126腹腔鏡輸尿管切開取石術課件127腹腔鏡輸尿管切開取石術課件128腹腔鏡輸尿管切開取石術課件129腹腔鏡輸尿管切開取石術課件130腹腔鏡輸尿管切開取石術課件131腹腔鏡輸尿管切開取石術課件13