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作者介绍一种治疗新生儿先天性后尿道瓣膜的新术式,并已在二例新生男儿获得成功。术式:本法需先改制一镜鞘,可选用12F耻骨上膀胱造瘘套管,并机械切割套鞘使长约5.0cm。使9.5F电切镜可在改制套管鞘腔内通过,并突出与伸入后尿道进行手术操作。将改制镜鞘及电切镜灭菌。在气管内麻醉下,仰卧位或蛙腿姿势,术前经尿道导尿管或耻骨上膀胱造瘘管充盈膀胱。铺无菌单,冲洗液维持在37℃以防热丢失。在脐与耻骨联合连线中点胀大的膀胱上方用12F套管针做膀胱切开。改制的12F镜鞘被稳定在切开处,去掉套管,通过镜鞘把
The authors describe a new surgical procedure for the treatment of congenital posterior urethral valves in newborns and have succeeded in two newborn boys. Procedures: This law need to reform a mirror sheath, optional 12F suprapubic cystostomy cannula, and mechanical sheathing sheath length of about 5.0cm. So that 9.5F resectoscope sheath in the reforming sleeve through, and prominent and into the posterior urethra for surgical operations. Will be modified mirror sheath and resectoscope sterilization. Under endotracheal anesthesia, supine or frog leg posture, preoperative transurethral catheter or suprapubic bladder fistula filling the bladder. Shop sterile single, rinse fluid was maintained at 37 ℃ to prevent heat loss. Bladder incision was made with a 12F trocar over the bulging bladder at the midpoint of the umbilicus and pubic symphysis. The modified 12F mirror sheath was stabilized at the incision, the cannula removed, and the sheath passed