工作就用美篇工作版","guide_search_desc":"海量模板范文,一键做同款 工作就用美篇工作版","img_beautify_switch":0,"ad_free":0,"text_direction":"1","template":{},"container":{},"redirect":{"redirect_type":1,"img_url":false,"link_url":"/wap/downloadpage/backpage","button_bg_color":false,"button_desc":false,"redirect_desc":false},"edit_date_str":"更新于 2020-04-19","current_time":1740879745,"font_name":"","rcmd_meipian":0,"hide_article_link":0,"from_wechat":false,"content":{"article_id":226218103,"content":[{"source":0,"source_platform":"local","splicing_template_id":0,"text":"
主刀医生:刘木彪(8号手套🧤)
手术时间:2020年4月18日
","type":1},{"img_height":1440,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/a00b7b78cd8844fa950d8227e0379c9d__jpeg.heic","img_width":1080,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"一、解剖结构
","type":1},{"img_height":568,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/1436e6faad874e3ea48e19ba7efdc35a__jpeg.heic","img_width":756,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"img_height":376,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/004f493c557144b18fd27d1a9c7e3836__jpeg.heic","img_width":500,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"img_height":480,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/fae822f2167a4cf9b09c0bcc0e73dfea__jpeg.heic","img_width":640,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"二、麻醉方式:全麻插管
手术体位:截石位
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"三、物品准备
手术衣 普通布类 会阴布类 直切口单 普通包 普通包碗 持物钳 阴式子宫包 电刀 吸引器 长脑膜剪 成像系统 14号导尿管 引流袋 二十毫升注射器 五毫升注射器 缩宫素一支 配一百毫升盐水 漏斗贴膜 中号S拉钩两个 腔镜持针器 腔镜分离钳 缝针 矮胖圆针 7*17圆针 9*24角针 4号丝线 7号丝线 2-0微乔备四根 一根大针用于缝合阴道前壁 2-0心脏换瓣线(用于悬吊双侧骶棘韧带)悬吊带(贵重物品注意核对)标记笔 尺子 保护套四个
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"四、巡回准备
1.截石位体位垫 拖手架
2.仪器设备的正确摆放和连接
","type":1},{"img_height":4032,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/63603245f9bb4c3cb47a4c077771ff5b__jpeg.heic","img_width":3024,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"五、手术步骤
1.麻醉成功后取膀胱截石位,常规消毒外阴及阴道
2.铺无菌巾及大洞单,再次消毒阴道,14号导尿管导尿
3.贴漏斗贴膜,连接电刀吸引器和成像系统
4.用大角针四号丝线分别将两侧小阴唇固定于两大腿内侧。阴道拉钩暴露宫颈,用组织钳钳夹宫颈前后唇,暴露宫颈及阴道穹窿
5.用二十毫升注射器抽取含缩宫素的生理盐水注射于宫颈周围的阴道黏膜层下。
6.于膀胱附着最低点下0.5cm处横形切开宫颈前壁的阴道粘膜9点-3点达宫颈筋膜,用阴道拉钩钝性分离上推膀胱至膀胱子宫腹膜反折处。
7.距后穹隆的阴道粘膜下0.5cm处切口宫颈后壁的
阴道粘膜,用阴道拉钩向上分离,暴露直肠腹膜反
折,打开子宫直肠腹膜反折
8.向右侧牵拉子宫,显露左侧子宫骶、主韧带,中弯钳夹脑膜剪切断,矮胖圆针7号丝线缝扎残端。于宫颈峡部紧贴中弯钳夹脑膜剪切断子宫动静脉,矮胖圆针7号丝线缝扎残端。同法处理右侧的主骶韧带及子宫动静脉
9.逐渐切割视野范围内的宫体部分,剔除部分,用勾取钳自后穹窿将宫底翻出。
10.钳夹切断左侧卵巢固有韧带、圆韧带及输卵管峡部,7号丝线缝扎,同法处理右侧圆韧带及附件,至此子宫被切除。
11.探查双侧附件无异常,7号丝线缝扎残端。检查有无明显活动性出血。
12.用宫颈钳夹左侧骶棘韧带,分离钳,腔镜持针器夹2-0换瓣线(换瓣线剪掉一头针取掉垫片)缝骶棘韧带,用蚊式钳固定在左侧切口处,右侧同法
13.用组织钳钳夹阴道全层,用纱布擦试盆腔,检查无活动性出血。
14.清点器械,2-0微乔关闭腹膜
15.组织钳夹阴道前壁,脑膜剪修补阴道前壁,2-0微乔缝合
16.将双侧骶棘韧带与阴道前后壁筋膜缝合。
勾取钳
","type":1},{"img_del":1,"img_height":4032,"img_url":"https://ss3.meipian.me/users/42872824/38d2a241225f4e5db62cca285c5e5872.jpeg","img_width":3024,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:sf-_qKIHseysOAqiSGD_DYIrLmU="}},{"img_del":1,"img_height":4032,"img_url":"https://ss3.meipian.me/users/42872824/5c9c2aab8fac4c319863df57b57cd691.jpeg","img_width":3024,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:DAJSzVIH0wb6uFSQzc8ZkSfjGtA="}},{"img_del":1,"img_height":3024,"img_url":"https://ss3.meipian.me/users/42872824/a690a1a3eed746d7830a8790a0c7d6b3.jpeg","img_width":4032,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:8CWPqFY-yxsaT5SHHAxoZ2Dw6Xc="}},{"img_del":1,"img_height":3024,"img_url":"https://ss3.meipian.me/users/42872824/7132a5b4b2ee4e48acdd158e6b23e61c.jpeg","img_width":4032,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:N6RefKALhv7dlzGdvwfpKrxsaJc="}},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"17.标记笔和尺子确认双侧放置悬吊带位置,于阴道前壁在离尿道外口1CM处作1.5CM的纵向切口
平尿道外口作第一道水平线,然后据此线上方两CM处作第二道水平线两次延长在阴股部皱壁交点外一CM处分别作标记
","type":1},{"img_del":1,"img_height":2736,"img_url":"https://ss3.meipian.me/users/42872824/7945e7884394497db81eb3de236f5846.jpeg","img_width":3648,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:geICOifG-HKh2gtqccNJkOo0S5E="}},{"img_del":1,"img_height":3024,"img_url":"https://ss3.meipian.me/users/42872824/170d2f895de0444cb00a416dc2c6fa78.jpeg","img_width":4032,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:j5HQ37sH8XTCaLzzXuPt06ACamo="}},{"img_del":1,"img_height":2160,"img_url":"https://ss3.meipian.me/users/42872824/83f193e02a77409da3b69112128465b1.jpeg","img_width":3840,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:YLIPWOVn_d1N7HzVJRGtVPxbENs="}},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"18.清点数目,检查术野有无出血,阴道内填塞三块碘伏显影小纱块。手术结束
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"六、教授习惯及特殊准备
1.戴8号手套
2.夹针方式:持针器夹针尾短倾斜25度角与线一起夹住缕顺递给教授
3.教授喜欢直的宫颈钳
4.术中观察手术注意接针
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"七、注意事项
1.正确执行三方核查制度,核对病人信息。
2.洗手护士提前15-20分钟上台整理器械
3.正确摆放手术体位避免损伤神经
4.管道应妥善固定,避免脱落
","type":1}]},"ext":{"id":140610609,"article_id":226218103,"ip":"106.6.68.16","origin_status":0,"edit_from":0,"client_type":1,"password_v2":"","uv":2,"font_id":0,"title_style":"","rich_text_title":"","gift_switch":1,"deleted_at":0,"recycle_expired_at":0,"share_with_nickname":0,"enable_watermark":0,"music_id":0,"music_source":-1,"_auto_update_time":"2025-02-25 02:03:17"},"extend":{"article_id":226218103,"enable_download":1}},"author":{"id":"42872824","nickname":"Mua.๑","head_img_url":"https://ss-mpvolc.meipian.me/users/42872824/1b81e8db48d54a059e2339160c23401b.jpg","column_visit":18,"signature":"","favorite_count":8,"follow_count":5,"follower_count":12,"famous_type":0,"autoplay_music":0,"text_preference":1,"client_type":1,"reward_word":"如果喜欢我的作品,请打赏鼓励哦!","member_type":0,"wechat_id":"ojq1tt4Qa2AOQmKqN42DkNSYTAOA","country":"中国","province":"江西","city":"","career":null,"birthday":0,"gender":0,"reg_time":1526820943,"e_id":"","bedge_img":"","label_img":"","review_level":1,"enable_reward_switch":false,"enable_water_mark_switch":0,"plainNickname":"Mua.๑","member_status":1,"member_img":"","ext":null,"phone_num":"180****7610","head_attach_img":null,"badge":null,"onlive":false,"qualification":null,"biz_info":{"is_biz_user":false,"share_domains":[]},"headwear":{"icon":"","animation":"","config":{},"param":{}},"cover_img_url":"","weibo_id":"","vwen_id":"","im_id":"","yx_im_token":"","last_visit_time":1739231859,"ip_address":"14.150.32.243","device_id":"4578cd33953d46efac4f2c04dabe2c4e","reviewer":0,"review_time":0,"account_state":0,"balance":0,"last_contribution_time":0,"member_expire_time":0,"member_qq_group":0,"web_has_login":0,"longtitude":"114.9423860","latitude":"25.8589630","last_client_type":1,"level":0,"province_user":"江西","city_user":"江西","user_id":42872824,"qq_id":"","apple_id":"","badge_img_url":"","reward_url":"https://www.meipian.cn/wap/reward/view/index.html?mask_id=2vx8f1o6&author_user_id=42872824&article_title=%E7%BB%8F%E9%98%B4%E9%81%93%E5%AD%90%E5%AE%AB%E5%85%A8%E5%88%87%E9%99%A4%2B%E9%98%B4%E9%81%93%E5%89%8D%E5%A3%81%E4%BF%AE%E8%A1%A5%E6%9C%AF%2B%E5%8F%8C%E4%BE%A7%E9%AA%B6%E6%A3%98%E9%9F%A7%E5%B8%A6%E6%82%AC%E5%90%8A%E6%9C%AF%2BTVT-0%E6%9C%AF","memo_name":""},"content":[{"source":0,"source_platform":"local","splicing_template_id":0,"text":"主刀医生:刘木彪(8号手套🧤)
手术时间:2020年4月18日
","type":1},{"img_height":1440,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/a00b7b78cd8844fa950d8227e0379c9d__jpeg.heic","img_width":1080,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"一、解剖结构
","type":1},{"img_height":568,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/1436e6faad874e3ea48e19ba7efdc35a__jpeg.heic","img_width":756,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"img_height":376,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/004f493c557144b18fd27d1a9c7e3836__jpeg.heic","img_width":500,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"img_height":480,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/fae822f2167a4cf9b09c0bcc0e73dfea__jpeg.heic","img_width":640,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"二、麻醉方式:全麻插管
手术体位:截石位
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"三、物品准备
手术衣 普通布类 会阴布类 直切口单 普通包 普通包碗 持物钳 阴式子宫包 电刀 吸引器 长脑膜剪 成像系统 14号导尿管 引流袋 二十毫升注射器 五毫升注射器 缩宫素一支 配一百毫升盐水 漏斗贴膜 中号S拉钩两个 腔镜持针器 腔镜分离钳 缝针 矮胖圆针 7*17圆针 9*24角针 4号丝线 7号丝线 2-0微乔备四根 一根大针用于缝合阴道前壁 2-0心脏换瓣线(用于悬吊双侧骶棘韧带)悬吊带(贵重物品注意核对)标记笔 尺子 保护套四个
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"四、巡回准备
1.截石位体位垫 拖手架
2.仪器设备的正确摆放和连接
","type":1},{"img_height":4032,"img_url":"https://ss-mpvolc.meipian.me/users/42872824/63603245f9bb4c3cb47a4c077771ff5b__jpeg.heic","img_width":3024,"source":0,"source_platform":"local","splicing_template_id":0,"type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"五、手术步骤
1.麻醉成功后取膀胱截石位,常规消毒外阴及阴道
2.铺无菌巾及大洞单,再次消毒阴道,14号导尿管导尿
3.贴漏斗贴膜,连接电刀吸引器和成像系统
4.用大角针四号丝线分别将两侧小阴唇固定于两大腿内侧。阴道拉钩暴露宫颈,用组织钳钳夹宫颈前后唇,暴露宫颈及阴道穹窿
5.用二十毫升注射器抽取含缩宫素的生理盐水注射于宫颈周围的阴道黏膜层下。
6.于膀胱附着最低点下0.5cm处横形切开宫颈前壁的阴道粘膜9点-3点达宫颈筋膜,用阴道拉钩钝性分离上推膀胱至膀胱子宫腹膜反折处。
7.距后穹隆的阴道粘膜下0.5cm处切口宫颈后壁的
阴道粘膜,用阴道拉钩向上分离,暴露直肠腹膜反
折,打开子宫直肠腹膜反折
8.向右侧牵拉子宫,显露左侧子宫骶、主韧带,中弯钳夹脑膜剪切断,矮胖圆针7号丝线缝扎残端。于宫颈峡部紧贴中弯钳夹脑膜剪切断子宫动静脉,矮胖圆针7号丝线缝扎残端。同法处理右侧的主骶韧带及子宫动静脉
9.逐渐切割视野范围内的宫体部分,剔除部分,用勾取钳自后穹窿将宫底翻出。
10.钳夹切断左侧卵巢固有韧带、圆韧带及输卵管峡部,7号丝线缝扎,同法处理右侧圆韧带及附件,至此子宫被切除。
11.探查双侧附件无异常,7号丝线缝扎残端。检查有无明显活动性出血。
12.用宫颈钳夹左侧骶棘韧带,分离钳,腔镜持针器夹2-0换瓣线(换瓣线剪掉一头针取掉垫片)缝骶棘韧带,用蚊式钳固定在左侧切口处,右侧同法
13.用组织钳钳夹阴道全层,用纱布擦试盆腔,检查无活动性出血。
14.清点器械,2-0微乔关闭腹膜
15.组织钳夹阴道前壁,脑膜剪修补阴道前壁,2-0微乔缝合
16.将双侧骶棘韧带与阴道前后壁筋膜缝合。
勾取钳
","type":1},{"img_del":1,"img_height":4032,"img_url":"https://ss3.meipian.me/users/42872824/38d2a241225f4e5db62cca285c5e5872.jpeg","img_width":3024,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:sf-_qKIHseysOAqiSGD_DYIrLmU="}},{"img_del":1,"img_height":4032,"img_url":"https://ss3.meipian.me/users/42872824/5c9c2aab8fac4c319863df57b57cd691.jpeg","img_width":3024,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:DAJSzVIH0wb6uFSQzc8ZkSfjGtA="}},{"img_del":1,"img_height":3024,"img_url":"https://ss3.meipian.me/users/42872824/a690a1a3eed746d7830a8790a0c7d6b3.jpeg","img_width":4032,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:8CWPqFY-yxsaT5SHHAxoZ2Dw6Xc="}},{"img_del":1,"img_height":3024,"img_url":"https://ss3.meipian.me/users/42872824/7132a5b4b2ee4e48acdd158e6b23e61c.jpeg","img_width":4032,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:N6RefKALhv7dlzGdvwfpKrxsaJc="}},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"17.标记笔和尺子确认双侧放置悬吊带位置,于阴道前壁在离尿道外口1CM处作1.5CM的纵向切口
平尿道外口作第一道水平线,然后据此线上方两CM处作第二道水平线两次延长在阴股部皱壁交点外一CM处分别作标记
","type":1},{"img_del":1,"img_height":2736,"img_url":"https://ss3.meipian.me/users/42872824/7945e7884394497db81eb3de236f5846.jpeg","img_width":3648,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:geICOifG-HKh2gtqccNJkOo0S5E="}},{"img_del":1,"img_height":3024,"img_url":"https://ss3.meipian.me/users/42872824/170d2f895de0444cb00a416dc2c6fa78.jpeg","img_width":4032,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:j5HQ37sH8XTCaLzzXuPt06ACamo="}},{"img_del":1,"img_height":2160,"img_url":"https://ss3.meipian.me/users/42872824/83f193e02a77409da3b69112128465b1.jpeg","img_width":3840,"source":0,"source_platform":"local","splicing_template_id":0,"type":1,"sign":{"e":1740883345,"token":"_c-zYrsESvrJbRu6tvNzSlZHm4noQSRy9d0n_oPD:YLIPWOVn_d1N7HzVJRGtVPxbENs="}},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"18.清点数目,检查术野有无出血,阴道内填塞三块碘伏显影小纱块。手术结束
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"六、教授习惯及特殊准备
1.戴8号手套
2.夹针方式:持针器夹针尾短倾斜25度角与线一起夹住缕顺递给教授
3.教授喜欢直的宫颈钳
4.术中观察手术注意接针
","type":1},{"source":0,"source_platform":"local","splicing_template_id":0,"text":"七、注意事项
1.正确执行三方核查制度,核对病人信息。
2.洗手护士提前15-20分钟上台整理器械
3.正确摆放手术体位避免损伤神经
4.管道应妥善固定,避免脱落
","type":1}],"mark":0,"gift":{"icon":"https://ss2.meipian.me/app/article_gift_flower_icon_v2.png","amount":0,"mix_icon":"","mix_persent":0,"display":1},"topic":{"has_vote":0,"vote_rank":0,"vote_count":0},"visitor":{"is_share":false,"visitor_id":0,"visitor_user_id":null,"from":null,"channel":null,"theme":null,"in_app":false,"from_web":false,"self_view":false,"timestamp":null,"sign":null,"is_from_app_launch":null,"show_praise":null,"praised":null,"wechat_sign":null,"token":null,"password_v2":null,"visitor_open_id":null,"share_depth":"","visitor_union_id":null,"ua_source":"web","mpuuid":"","isFan":0,"relation_type":0,"member_status":0,"member_img":"","head_attach_img":"","headwear":null,"request":{"attributes":{},"request":{},"query":{},"server":{},"files":{},"cookies":{},"headers":{}},"is_new_guest":0,"first_share_uid":0,"risk_cheat_info":"","is_cheat_risk":false,"page_visit_id":"PC_69162177267c3b780efb9f0.19611086","is_good":null,"auth_url":null,"from_auth_callback":0},"watermark":"?watermark/3/image/aHR0cDovL3N0YXRpYzItc3JjLml2d2VuLmNvbS9sb2dvd2F0ZXIucG5n/dy/50/text/QCBNdWEu4LmR/fontsize/320/dx/10/dy/30/fill/I0ZGRkZGRg==/text/576O56-H5Y-377yaNDI4NzI4MjQ=/fontsize/320/dx/10/dy/10/fill/I0ZGRkZGRg=="}; var detail = ARTICLE_DETAIL; window.model = { detail: ARTICLE_DETAIL }