腹膜外剖宫产术已有百余年的历史。该手术关键的一步是分离膀胱较难,容易损伤膀胱。笔者采用了“水压分离”的方法行膀胱侧入法进行手术操作。此法克服了分离膀胱难的缺点,且具有对膀胱刺激小、渗血少、损伤小、节约时间、组织层次显露清楚等优点。现将具体操作方法及体会介绍如下。 Extraperitoneal cesarean section has a hundred years of history. The key step of the operation is to separate the bladder more difficult, easy to damage the bladder. The author adopted the method of “water pressure separation” to carry out the operation of the bladder side approach. This method overcomes the shortcomings of difficult bladder separation, and has a small bladder irritation, less bleeding, less damage, save time, the level of tissue revealed clearly. Now the specific method of operation and experience described below.