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我们从1985年5月开始,自行设计一种“在膀胱镜窥视下经耻骨上膀胱穿刺取石术”。通过猪离体膀胱的穿刺实验,取得了临床应用的可行性依据,于1985年7月至1986年8月临床应用30例,治愈100％。 膀胱位于骨盆内,腹膜部分遮盖膀胱前壁,当膀胱充盈到一定程度时,腹膜反折可自行向上推开,大部分膀胱位于骨盆外。膀胱前壁有纵形静脉血管丛,当膀胱充盈的,静脉血管丛的间距增宽,穿刺时注意其解剖关系,很少损伤血管,随膀胱肌
We started in May 1985, to design a “look at the cystoscopy through the suprapubic bladder puncture.” Through the porcine bladder puncture experiment, obtained the feasibility basis of clinical application, from July 1985 to August 1986 clinical application of 30 cases, 100% cure. The bladder is located in the pelvis, part of the peritoneum cover the anterior wall of the bladder, when the bladder filling to a certain extent, the peritoneal reflexes can push up on their own, most of the bladder is located outside the pelvis. The anterior wall of the bladder has a longitudinal venous vascular plexus. When the bladder is inflated, the venous plexus is broadened in spacing. When dissecting it, pay attention to its anatomic relationship and rarely damage blood vessels.