妇产科常用术式教学内容.doc

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1、Good is good, but better carries it.精益求精，善益求善。妇产科常用术式-Epididymalabscessdrainage会阴脓肿切开引流（非产科）Incisionanddrainageofperinealabscess（Non-obstetric）尿道周脓疡切开引流术I&Dforperi-urethralabscess阴囊脓疡切开引流术I&Dforscrotalabscess会阴修补repairofperineum会阴修补及括约肌修补Repairofperinueumwithsphincterrepair会阴修补及肛门损伤修补Repairofperinue

2、umwithrepairofanaldefects广泛性外阴脓疡引流术Extendeddrainageofexternalgenitalabscess巴氏腺囊肿造袋术MarsupializationofBartholinsglandcyst巴氏腺囊切除术ExcisionofBartholinsgland女阴切除术或广泛性外阴癌组织切除（未合并皮肤或皮下组织重建）Simplevulvectomyorwidelocalexcisionofvalvarcancer女性包皮切除术Femalecircumcision简单阴蒂切除术Simpleclitoridectomy女阴白斑切除术Vulvarleuk

3、oplakiaexcision广泛阴蒂切除术Extensiveclitoridectomy处女膜切开术Hymenotomy根治女阴切除术RadicalVulvgectomy女阴切除术（合并皮肤或皮下组织重建）Simplevulvectomy（withskingraftorreconstructionofsubcutaneoustissue）阴道切开探查术或骨盆腔脓肿引流Vaginotomyordrainageofpelvicabscess阴道囊肿切除术Excisionofvaginalcyst阴道中膈切除术Resectionofvaginalseptum阴道后穹窿切开术Incisionofpo

4、steriorfornix阴道缝合术（缝合阴道损伤，非产科）Vaginalwallrepair（Non-obstetric）阴道会阴缝合术：缝合阴道及会阴损伤，（非产科）Colpoperineorrhaphy，sutureofinjuryofvaginaand/orperineumnonobstetrical前侧阴道缝合术Colporrhaphy，anterior后侧阴道缝合术Colporrhaphy，Posterior前后侧阴道缝合术Anteriorandposteriorcolporrhaphy前后侧阴道缝合术：包含肠膨出修补术Anteriorandposteriorcolporrhaph

5、y，（includingrepairofenterocele）从腹腔进入阴道固定术Transabdominalcolpopexy经腹腔及阴道合并之骨盆底重建术及选择性尿失禁手术Combinedabdominalandvaginalpelvicfloorreconstrctionwithoptionalanti-incontinenceoperation（sacrocolpopexy，colporrhaphycombinedanterior-posteriorwithenterocelerepair）经阴道骨盆底重建及尿失禁整治手术（含子宫切除术）Pelvicfloorreconstructio

6、nandanti-incontinenceoperation（transvaginalhysterectomy，sacro-spinalligamentfixation，colporrhaphycombinedanterior-posteriorwithenterocelerepair，cystourethropexy）经阴道骨盆底重建及尿失禁整治手术Transvaginalpelvicfloorreconstruction（Sacro-spinalligamentfixation，colporrhaphycombinedanterior-posteriorwithenterocelerepa

7、ir，urethropexy）麻醉下之阴道扩张术Vaginaldilationunderanesthesia阴道切除术阴道部份切除Partialresectionofvagina阴道切除术阴道全部切除，阴道式Completeresectionofvagina，vaginalapproach阴道切除术阴道全部切除，腹式合并阴道式Completeresectionofvagina，combinedabdominalandvaginalapproach阴道闭合术LeFortcolpocleisis人工阴道重建术（阴道狭窄或阴道缺失）无皮肤移植Reconstructionofvagina（vagina

8、lstenosisorvaginaldefects，withoutskingraft）人工阴道重建术（阴道狭窄或阴道缺失）有皮肤及大肠等移植Reconstructionofvagina（vaginastenosisorvaginaldefects，withskin，colonorothergraft）初次直肠阴道瘘管修补术Primaryrecto-vaginalfistularepair再次直肠阴道瘘管修补术Recurrentrecto-vaginalfistularepair尿道阴道瘘管修补术Urethralvaginalfistularepair膀胱阴道瘘管修补术Vesicovaginal

9、fistularepair从阴道进入之阴道固定术Colpopexy，vaginalapproach腹腔镜阴道悬吊术Colposuspension，laparoscopic阴道式子宫颈切除术Vaginaltrachelectomy腹式并阴道式子宫颈切除术Combinedabdominalandvaginaltrachelectomy根除式子宫颈切除术Radicaltrachelectomy子宫颈整形术Tracheloplasty子宫颈缝合术Cervicalcerclage子宫颈残余部扩张刮除术Dilationandcurettageofcervicalstump子宫颈楔状切除术Cervicalc

10、onization子宫颈切断术Cervicalamputation子宫颈蒂瘤切除术Cervicalpolypectomy阴道式残余子宫颈切除术Vaginalexcisionofcervicalstump腹式并阴道式残余子宫颈切除术Combinedabdominalandvaginalexcisionofcervicalstump经阴道子宫悬吊合并子宫颈部份切除术Manchesteroperation（Transvaginaluterinesuspensionwithpartialcervicectomy）诊断性或治疗性子宫扩张刮除术（非产科）Diagnosticortherapeuticdil

11、ationandcurettage（nonobstetric）一般子宫肌瘤切除术Uncomplicatedmyomectomy复杂性子宫肌瘤切除术Complicatedmyomectomy一般全子宫切除术Uncomplicatedtotalhysterectom复杂性全子宫切除术Complicatedtotalhysterectomy次全子宫切除术Subtotalhysterectomy骨盆腔粘连分离术Lysisofpelvic（abdominal）adhesion子宫悬吊术Uterinesuspension子宫广韧带裂伤修补或切除术Repairorresectionofbroadligame

12、nt子宫输卵管造口吻合术Hysterosalpingostomy子宫缝合术Hysterorrhaphy子宫整形术MetroplasticsurgerySpalding-Richardson氏子宫脱出手术Spalding-Richardsonsoperation广泛性全子宫切除术Extendedhysterectomy子宫颈癌全子宫根除术Radicalhysteretomyforcervicalcancer阴道式子宫根治手术（Schauta式手术）Hysterectomyvaginalradical，Schautatypeprocedure子宫镜切除子宫腔隔膜或子宫肌瘤Hysteroscopic

13、resectionofuterineseptumorhysteroscopicmyomectomy腹腔镜全子宫切除术Laparoscopyassistedvaginalhysterectomy妇癌分期手术手术范围含：（BSO+omentectomy+ATH+retroperitoneallymphadenectomy）（BSO+omentectomy+ATH+retroperitoneallymphadenectomy）妇癌减积手术手术范围含：（BSO+omentectomy+ATH+retroperitoneallymphadenectomy）+radicaldissectionfordeb

14、ulking（BSO+omentectomy+ATH+retroperitoneallymphadenectomy）+radicaldissectionfordebulking妇癌二次剖腹探查术Gynecologiconcologysecond-looklaparotomy子宫镜移除异物或息肉Hysteroscopicremovalofforeignbodyorpolyp子宫镜剥离子宫腔粘黏或子宫内膜电烧Hysteroscopiclysisofuterineadhesionorendometrialablation腹腔镜式妇癌分期手术Laparoscopicgynecologiconcolog

15、ystagingsurgery输卵管整形术Salpingoplasty输卵管剥离术Salpingolysiswithmicroscopic输卵管吻合术Endtoendanastomosis输卵管造口术。Salpingostomywithoutmicroscopic输卵管补植术Reimplantationwithmicroscopic卵巢切除术附加大网膜切除术Oophorectomywithomentectomy子宫附属器部份或全部切除Partialorcompleteadnexectomy卵巢脓疡切开引流术Incisionanddrainageofovarianabscess卵巢部份切片术Bi

16、opsyovary，incisional腹腔镜子宫附属器部分或全部切除术Laparoscopicpartialorcompleteadnexectomy卵巢癌再次手术探查术Secondlookoperationforovariancancer葡萄胎或绒毛膜癌除去术Removalofmolarpregnancyorchoriocarcinoma子宫外孕手术Ectopicpregnancyoperation腹腔镜子宫外孕手术（含腹腔镜子宫外孕药物注射）Laparoscopicsurgeryforectopicpregnancy（includinglaparoscopiclocalinjection

17、）胎盘取出术Manualremovalofplacenta初次剖腹产PrimaryC/S再次剖腹产PreviousC/S前置胎盘或植入性胎盘之剖腹产C/Sduetoplacentapreviaorplacentaaccreta剖腹产合并次全子宫切除术SubtotalhysterectomyafterCesareansection剖腹产合并全子宫切除术TotalhysterectomyafterCesareansection妊娠前十二周流产刮宫术D&C（12.Week）妊娠超过十二周流产或死胎刮宫术D&C（12.Week）引产无效后之流产或死胎刮宫术Dilationandevacuationaf

18、terinductionfailure子宫内管刮除术Endocervicalcurettage败血性流产Septicabortiontreatment子宫切开流产术Hysterotomyforterminationofpregnancy死胎之引产（12-24周）Medicalinductionforfetaldeath（12-24weeks）死胎之引产（超过24周）Medicalinductionforfetaldeath（after24weeks）死胎破取术Destructionofthedeadfetus骨盘腔脏器摘除术Pelvicexenteration-TotalorAnterioro

19、rPosterior骨盆腔子宫内膜异位症，电烧及切除轻度：子宫内膜异位症分级指数小于或等于5分。Fulgurationorexcisionofpelvicendometriosis，minimaltomild骨盆腔子宫内膜异位症，电烧及切除中度：子宫内膜异位症分级指数6至40分。Fulgurationorexcisionofpelvicendometriosis，moderate骨盆腔子宫内膜异位症，电烧及切除重度：子宫内膜异位症分级指数大于40分。Fulgurationorexcisionofpelvicendometriosis，severe腹腔镜式骨盆腔子宫内膜异位症电烧及切除轻度：子宫

20、内膜异位症分级指数小于或等于5分。LaparoscopicfulgurationorexcisionofpelvicendometriosisMinimaltomild腹腔镜式骨盆腔子宫内膜异位症电烧及切除中度：子宫内膜异位症分级指数6至40分。LaparoscopicfulgurationorexcisionofpelvicendometriosisModerate腹腔镜式骨盆腔子宫内膜异位症电烧及切除重度：子宫内膜异位症分级指数大于40分。LaparoscopicfulgurationorexcisionofpelvicendometriosisSevere经腹部子宫内避孕器移除术Tran

21、sabdominalremovalofintrauterinedevice荐骨前神经截断术Presacralneurectomy腹腔镜式荐骨前神经截断术Laparoscopicprescralneurectomy无妊娠并发症之阴道产Vaginaldeliveryinnormalpregnancy有妊娠并发症之阴道产Vaginaldeliveryincomplicatedpregnancy（definedascaseswithpreeclampsia，eclampsia，GDM，malpresentation，anddocumentedmajormedicalorsurgicalcomplications）前胎剖腹产之阴道产VaginaldeliveryafterCesareansection（VBAC）双胎分娩Vaginaldeliveryoftwins多胎分娩Vaginaldeliveryofmultiplepregnancy子宫内膜电烧及切除术Endometrialablationortranscervicalendometrialresection前胎剖腹产后之阴道生产（接生费）前胎剖腹产后之阴道生产（双胎分娩）前胎剖腹产后之阴道生产（多胎分娩）-