实用小儿外科新型手术图解【2025|PDF下载-Epub版本|mobi电子书|kindle百度云盘下载】

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第一章 小儿外科手术基本技术 张金哲1

第一节 小儿手术基本操作特点1

1-1 切口(incision)1

1-2 止血(hemostasis)2

1-3 缝皮(suture of skin)2

1-4 针线选择(choice of sutures)3

1-5 开颅切口(incisions for craniotomy)3

1-7脊柱切口(incisions on spine)4

1-6开胸切口(incisions for thoracotomy)4

1-8开腹切口(incisions for laparotomy)5

1-9 尾路切口(incisions on sacral region)6

1-10 四肢切口(incisions on limbs)7

1-11 稳定技术(stable techniques)7

1-12 器械操作(manipulation of instruments)8

1-13 合作配合(cooperation of operator with assistants)8

1-14 头灯、台上望远镜、冷光源牵开器（head light,operating glasses and retractor with cold light）9

第二节 小儿手术基本问题9

1-15 手术的决定-9分法手术评价（consideration of operation/nine score evaluation）9

1-16 新生儿手术打击评定（estimation of the severity of surgical stress in newborns）10

1-18 麻醉（anesthesia）11

1-17 心理因素（psychological factors）11

1-19 体位固定与保暖通风（position and immobilization;air conditions and ventilation）12

1-20 开放静脉（intravenous cannulation）14

1-21 紧急抢救手术（operations for resuscitation）15

1-22 无菌措施（aseptic technique）17

1-23伤口包扎（wound dressing）17

第一节 食管闭锁手术18

Ⅱ-1 Ⅲ型食管闭锁——期吻合术（esophageal atresia,type Ⅲ/primary anastomosis）18

第二章 新生儿手术 陈永卫18

Ⅱ-2 食管闭锁-延期吻合术（esophageal atresia/delayed anastomosis）21

Ⅱ-3 食管闭锁-交替选择手术（esophageal atresia/alternative operations）24

Ⅱ-4 食管闭锁-颈部食管造瘘（esophageal atresia/cervical esophagostomy）25

第二节 胃肠道梗阻手术27

Ⅱ-5 婴儿肥厚性幽门狭窄-环脐切口幽门肌切开（infantile hypertrophic pyloric stenosis/pyloromyotomy th27

Ⅱ-6 环形胰腺-菱形吻合（annular pancreas/diamod duodenoduodenostomy）28

Ⅱ-7 肠旋转不良-Ladd手术（malrotation/Ladd procedure）31

Ⅱ-8 十二指肠闭锁-隔切除（duodenal atresia/resection of septum）33

Ⅱ-9 空肠闭锁-斜吻合（jejunal atresia/oblique jejunojejunostomy）35

Ⅱ-10 回肠闭锁-端吻合（ileal atresia/end to end anastomosis）37

Ⅱ-11 回肠闭锁-倒丁字吻合〔ileal atresia/invertednastomosis（Bishop-Koop enterostomy）〕38

第三节 肛门直肠畸形手术40

Ⅱ-12 先天性低位无肛（男婴无瘘）-十字切开（low anorectal atresia without fistula in male/crucial inc40

Ⅱ-13 低位女婴瘘-二期肛门成形（后切与“H”手术）〔low anorectal atresis with fistula in female/two-s41

Ⅱ-14 低位无肛尿道瘘-第一期会阴切开（low anorectal atresia with urethral fistula/primary perineal in44

Ⅱ-15中位无肛尿道瘘-结肠造瘘（intermediate anorectal atresia with urethral fistula/colostomy）45

Ⅱ-16 中位无肛尿道瘘-Penㄊ质酰ǜ侥虻览┱牛玻╥ntermediate anorectal atresia with urethral fistula/47

Ⅱ-17 中位无肛尿道瘘-关肠瘘（intermediate anorectal atresia with urethral fistula/colostomy close）50

Ⅱ-18 高位无肛膀胱瘘-腹会阴手术（high anorectal anomaly with vesicorectal fistula/abdominoperineal a52

Ⅱ-19 高位无肛尿道瘘-延期手术（high anorectal atresia with vesicorectal fistula/ delayed anoplasty）56

Ⅱ-20 新生儿巨结肠-环钳法（张氏法）〔megacolon in newborn/ring clamp crushing anastomosis（Zhang t57

Ⅱ-21 全结肠巨结肠-木村法（total colon aganglionosis/Kimura procedure）62

第四节 腹壁腹膜手术64

Ⅱ-22 新生儿腹股沟斜疝-Marcy-Bassini手术（inguinal hernia in newborn/Marcy-Bassini procedure）64

Ⅱ-23 脐膨出-一期缝合手术（脐成形术）〔omphalocele/one-stage repair（omphaloplasty）〕65

Ⅱ-24 巨型脐膨出-二期手术（1）（皮肤缝合）〔huge omphalocele/two-stage operation(1)（closure of skin67

Ⅱ-25 巨型脐膨出-二期手术（2）（腹肌缝合）〔huge omphalocele/two-stage operation(2)（closure of abdo68

Ⅱ-26 胎粪性腹膜炎-肠穿孔肠造瘘（meconium peritonitis/exteriorization of perforated intestine）69

Ⅱ-27 胎粪性腹膜炎-关瘘（meconiun peritonitis/enterostomy close）71

Ⅱ-28 胎粪性腹膜炎-广泛粘连肠梗阻短路吻合（meconium peritonitis/bypass operation for extensive adhes72

Ⅱ-29 胆道闭锁-肝门肠吻合（biliary atresia/Kasai procedure）72

Ⅱ-30 胆道闭锁-胃管吻合（biliary atresia/porto-gastric-tube anastomosis）76

Ⅱ-31 胆道闭锁-空肠弧代胆道（biliary atresia/jejunal loop replacement）78

Ⅱ-32 胰岛母细胞增生症-次全胰切除（nesiedioblastosis/subtotal pancreate-ctomy）79

第三章 外科急症手术 孙琳82

第一节 软组织损伤手术82

Ⅲ-1 头皮撕脱伤-清创缝合(laceration of scalp/debridement)82

Ⅲ-2 面部皮肤小裂伤-清创缝合(minor laceration of facial skin/debridement)83

Ⅲ-3 四肢皮肤碾挫伤-植皮（crushing injury of limb and avulsion of skin/skin-grafting）84

Ⅲ-4 臀部软组织异物-异物摘除（foreign body in buttock/enucleation of foreign body）86

第二节 骨折手术87

Ⅲ-5 肱骨外髁骨折-钢针内固定（fracture of external condyle of humerus/internal fixation of fracture87

Ⅲ-6 尺骨鹰嘴骨折-切开复位内固定（fracture of olecranon/internal fixation with wire）89

Ⅲ-7 胫骨开放骨折-钢板内固定（open fracture of tibia/internal fixation with plate）91

Ⅲ-8 胫骨髁间嵴骨折-钢丝内固定（intercondylar fracture of tibia/internal fixation with wire）92

第三节 颌面损伤手术93

Ⅲ-9 下颌骨折-气管切开（mandibular fracture/tracheotomy）93

第四节 颅脑损伤手术95

Ⅲ-11 硬膜下血肿-钻孔引流（extradural hematoma/triphine and drainage）95

Ⅲ-10下颌骨折-颌固定(madibular fracture/madibular fixation)95

Ⅲ-12 颅内血肿-左颞下减压（intracranial hematoma/subtemporal decom-pression）96

Ⅲ-13 颅骨凹陷骨折-切开整复（depression cranial fracture/open reduction）97

第五节 胸部损伤手术98

Ⅲ-14 纵隔气肿与支气管断裂-纵隔引流、胸腔引流及开胸支气管吻合(emphysema of mediastinum and rupture o98

第六节 腹部损伤手术101

Ⅲ-15 肝脾破裂-开腹探查、脾切除、肝缝合〔rupture of liver and spleen/exploratory laparotomy,splenect101

Ⅲ-16 肠损伤-肠外置（injury of bowel/exteriorization）103

Ⅲ-17 十二指肠损伤-切除吻合（duodenal injury/excision and anastomosis）104

Ⅲ-18 十二指肠损伤-十二指肠旷置引流（duodenal injury/bypass anastomosis and drainage）106

Ⅲ-19 肝内胆道出血-肝固有动脉结扎（hemorrhage of intrahepatic biliary tract/ligation of hepatic prop107

Ⅲ-20 急性坏死性胰腺炎-袋形缝合引流（acute necrotic panceatitis/marsupia-lization）109

Ⅲ-21 直肠会阴撕裂伤-结肠造瘘、尾骨切除引流（laceration of rectum and perineum/colostomy,coccygectom110

第七节 尿道损伤手术112

Ⅲ-22 尿道断裂-尿道修复术和膀胱造瘘（rupture of urethra/primary anastomosis and cystostomy）112

Ⅲ-23 尿道断裂、会阴撕伤-尿道造口（laceration of perineum and rupture of urethra/urethrostomy）114

第八节 急腹症手术116

Ⅲ-24 阑尾炎-阑尾切除（appendicitis/appendectomy）116

Ⅲ-25 肠套叠-手法整复（intussusception/surgical reduction）117

Ⅲ-26 肠套叠-延期吻合（intussusception/delayed anastomosis）118

Ⅲ-27 回盲部肠重复畸形-回盲部切除吻合（intestinal duaplication/ileocecal resection）119

Ⅲ-28 急性完全性粘连性肠梗阻-粘连松解（acute adhesive complete intestinal obstruction/fibrolysis）120

Ⅲ-29 慢性部分性肠梗阻急性发作-局部松解（chronic partial intestinal obstruction with acute attack/lo121

Ⅲ-30 内疝（盲肠后窝）-整复切除〔internal hernia（retrocecal fossa）/reduction and excision〕123

Ⅲ-31 粪石梗阻-开腹排石（intestinal obstruction due to fecalith/surgical removal of fecalith）125

Ⅲ-32 卵巢瘤扭转-卵巢切除术（torsion of ovarian tumor/excision of ovary）127

Ⅲ-33 弥漫性腹膜炎-腹腔探查引流（diffuse peritonitis/exploratory lapar-otomy and drainage）127

Ⅲ-34 胃肠道急性大出血-分段探查造瘘（acute profused hemorrhage from gastrointestinal tract/segmental128

Ⅳ-1 门诊手术条件（criteria for day surgery）131

Ⅳ-2 局麻浸润法（local infiltration anesthesia）131

第一节 门诊外科基本技术131

第四章 小儿门诊外科手术 张金哲131

Ⅳ-3 固定体位（position and immobilization）132

第二节 疝与阴囊手术133

Ⅳ-4 腹股沟斜疝-修复术（indirect inguinal hernia/repair of hernia）133

Ⅳ-5 阴囊精索水囊肿-结扎术（hydrocele tunica vaginalis/ligation of process vaginalis）136

Ⅳ-6 隐睾-固定术（undescendant testis/orchiopexy）137

Ⅳ-7 输精管切断吻合术（repair of the injured vas deferens）139

Ⅳ-8 脐疝修补术（umbilical hernia/repair of umbilical hernia）139

Ⅳ-9 脐疝皮下环扎（umbilical hernia/subcutaneous ligation）141

第三节 阴茎与肛门手术143

Ⅳ-10 典型包皮环切（typical circumcision）143

Ⅳ-11 非典型包皮环切（modified circumcision）144

Ⅳ-12 隐匿性阴茎-重型成形术（buried penis/plastic operation for severe type）145

Ⅳ-13 轻型隐匿阴茎-皮瓣交叉方法（buried penis/skin flap transference）146

Ⅳ-14 肛瘘-挂线〔anal fistula/threading procedure of anal fistula（rubber band trratment of anal fis147

Ⅳ-15 女婴后天性前庭瘘-“H”手术〔acquired anovestibular fistula/push-back procedure of fistula（“H148

Ⅳ-17 脱肛-环扎术（prolapse of rectum/Thiersch operation）149

Ⅳ-16 女婴后天性外阴肛门裂-“H”手术（acquired defect of perineum/“H”operation）149

第四节 头颈手术150

Ⅳ-18 甲状舌管囊肿-切除术（thyroglossal cyst/excision）150

Ⅳ-19 鳃瘘-切除术（branchial fistula/excision）151

Ⅳ-20 颈静脉扩张-切除结扎术（jugular vein dilatation/excision and ligation）152

Ⅳ-21 肌性斜颈-胸锁乳突肌切断术（torticollis/section of sternocleidoma-stoid muscle）153

Ⅳ-22 小婴儿唇裂-“Z”成形旋转推进法（cleft lip in young infants/Brown and Blair procedure）154

Ⅳ-23 婴幼儿唇裂-三角插入法（cleft lip in infants/Tennison procedure）155

Ⅳ-24 唇裂术后缺陷-小修（minor defects of repaired cleft lip/repair）156

第五节 其他手术157

Ⅳ-26 青春期腋臭-“Z”成形手术（axillary bromidrosis in puberty/“Z”plastic operation ）157

Ⅳ-25 眉弓囊肿（皮样囊肿）-切除术（dermoid cyst of eyebrow/excision）157

Ⅳ-27 乳腺瘤-切除（乳后切除）〔mammary tumor/excision of mammary tumor（retromammary excision）〕158

Ⅳ-28 弹响指-松解术（trigger thumb/stenotic tendovaginotomy）159

Ⅳ-29 ？生指-切除术（supranumeral finger/excision of supranumeral finger）160

Ⅳ-30 淋巴结增大-淋巴结切除活检（lymphadenopatby/excision biopsy of lymph node）161

Ⅳ-31 实性肿物-部分切除活检（solid mass/partial excisional biopsy）161

Ⅳ-32 婴儿颌下脓肿-切开（infantle submaxillary abscess/incision and drai-nage）162

第五章 腹部外科手术 王燕霞 魏临琪 张金哲163

第一节 膈与食管手术163

Ⅴ-1 右侧膈疝-经腹手术（right diaphragmatic hernia/repair of the diaphragma-tic hernia through lapar163

Ⅴ-2 左侧膈疝-经胸手术（left diaphragmatic hernia/repair of the diaphragmatic hernia through thoraco165

Ⅴ-3 裂孔疝食管返流-Thal加矩形瓣手术（gastroesophageal reflux due to hiatal hernia/Thal procedure166

Ⅴ-4 单纯胃食管返流-经腹胃食管折叠术〔（Nissen）idopathic gastroesophageal reflux/Nissen operation167

Ⅴ-6 食管长段狭窄-胸骨后结肠代食管（long esophageal stenosis/retrosternal colon substitution for eso169

Ⅴ-7 胸骨前回盲肠代食管（right colon substitution for esophagus）173

Ⅴ-8 胃管代食管（gastric tube substitution for esophagus）176

Ⅴ-9 皮管代食管（cutaneous tube substitution for esophagus）177

第二节 胃肠道手术178

Ⅴ-10 幽门梗阻-胃空肠吻合（cicatricial pyloric obstruction/gastrojejunostomy）178

Ⅴ-11 美克尔憩室-肠切除吻合（Meckel diverticulum/intestinal resection and anastomosis）179

Ⅴ-12 先天性巨结肠-环钳吻合术（congenital megacolon/ring clamp crushing anastomosis）181

Ⅴ-13 儿童短段巨结肠-Soave 手术（childhood short segment aganglionosis/Soave procedure）190

Ⅴ-14 儿童巨结肠-Ikeda钉合法（childhood megacolon/Ikeda stapler procedure）192

Ⅴ-15 超短段巨结肠-直肠环肌后切〔extrashort segment aganglionosis/posterior rectal myectomy（Thomas193

Ⅴ-16 继发巨结肠巨大粪石-阑尾造口（Malone手术）（secondary megacolon/removal of fecalith and Malone194

Ⅴ-17 巨结肠术后直肠闭锁-气囊扩张法（postoperative rectal atresia/balloon dilatation）196

Ⅴ-18 术后直肠肛门假性憩室-切除缝合（postoperative anorectal pseudodiver-ticulum/excision）197

第三节 肛门手术198

Ⅴ-19 先天性无肛直肠前庭瘘-尾路肛门成形术（imperforate anus with recto-vestibular fistula/anoplasty198

Ⅴ-20 男孩肛门术后尿道瘘-第二期手术（postoperative fistula after anorectal operation in male/the sec201

Ⅴ-21 一穴肛-腹会阴肛门及尿道阴道成形术（persistent cloaca/one-stage abdominoperineal total repair）202

Ⅴ-22 低位一穴肛-会阴肛门及尿道阴道成形术（lower persistent cloaca/one-stage perineal total repair）205

Ⅴ-23 肛门皮肤成形手术-皮瓣转移〔skin plastic surgery of anal opening（skin flap transfer）〕207

Ⅴ-24 肛门疤痕狭窄成形手术（皮瓣插入）〔anoplasty for cicatricial anal steno-sis（triangular flap pu208

Ⅴ-25 会阴缺损-成形手术（肌皮瓣转移）〔perineal defect/plastic operation for perineal defect（muscul210

Ⅴ-27 肛门括约肌成形手术（股薄肌转移）〔plastic operation of anal sphincter （gracilias transfer）211

Ⅴ-26 肛门括约肌成形手术（臀大肌瓣转移）〔plastic operation of anal sphincter（gluteus maximum trans211

Ⅴ-28 大小便失禁（提肛肌麻痹）-髂腰肌转移〔fecal and urinary incontinence（due fo paralysis of levat212

Ⅴ-29 女孩尿失禁-尿道延长及尿道后隧道成形术（urinary incontinence in female/extension to urethra and214

Ⅴ-30 无肛术后多发尿瘘-尿道改道手术（postoperative multiple urethral fistulas/ reconstruction of ure215

第四节 肝胆脾胰手术217

Ⅴ-31 先天性胆总管囊肿-囊肿切除空肠间置代胆道加矩形瓣术（congenital choledochocyst/excision and jeju217

Ⅴ-32 先天性胆总管柱状扩张-肝总管十二指肠吻合术（congenital colomnar dilated choledochus/hepaticod o223

Ⅴ-33 胆胰汇合畸形-胆管移植（anomalous pancreatobiliary junction/tran-splanttion of common bile duct225

Ⅴ-34胆总管囊肿十二指肠吻合术后二期改建-Poux-Y吻合术（redo of chole dochocystodeuodnostomy by Roux-Y226

Ⅴ-35 胆囊结石继发胆囊炎-胆囊切除（cholelithiasis with cholecystitis/cholecystectomy）228

Ⅴ-36 肝母细胞瘤-肝叶切除（hepatoblastoma/hepatolobectomy）230

Ⅴ-37 小型肝肿瘤-肝部分切除（止血带法）〔small hepatic tumor/partial hepatectomy（tourniquet method231

Ⅴ-38 门脉压高（肝前型）-脾肾静脉分流〔portal hypertention（extrahepatictype）/splenorenal shunt〕232

Ⅷ-10 先天性马蹄内翻足-足外侧缩短术(TEV/lateral correction of foot)234

Ⅴ-39 门脉压高-下腔静脉肠系膜上静脉分流（portal hypertention/mesocaval shunt）235

Ⅴ-40 门脉压高-经腹贲门离断术（portal hypertention/division of stomach cardiaby abdominal approach）236

Ⅴ-41 脾功能亢进-脾切除（hypersplenism/splenectomy）238

Ⅴ-42 巨脾-脾动脉结扎（huge spleen/ligation of splenic artery）239

Ⅴ-43 门脉压高-脾肺固定（portal hypertention/intrathoracic splenopexy）240

第五节 腹部肿物手术241

Ⅴ-44 胰腺假囊肿-囊胃吻合（pancreatic pseudocyst/gastrocystostomy）241

Ⅴ-45 大网膜囊肿（淋巴管瘤）-大网膜切除术〔omentocele（lymphangioma in greater omentum）/excision of242

Ⅴ-46 后腹膜淋巴管瘤-去盖手术（rctroperitoneal lymphagioma/decortication of lymphagioma242

Ⅴ-47 腹膜后畸胎瘤-？腹联合切除术(retroperitoneal teratoma/abdomino-thoracion excision)243

Ⅴ-48 骶尾畸胎瘤-腹会阴切除术(sacrococcygeal teratoma/abdonimal-perineal excision)245

Ⅵ-1 肾母细胞瘤-切除(Wilms?rumor/excision of Wilmsumor)247

第一节 肾手术247

第六章 泌尿外科手术 张潍平247

Ⅵ-2 重肾-上半肾切除(duplication of kidney/upper pole heminephrectomy)251

Ⅵ-3 肾盂输尿管交界处梗阻-离断性肾盂成形术(PUJ obstruction/dismem-bered pyeloplasty)253

Ⅵ-4腔静脉后输尿管-离断性输尿管成形术(retricavao ureter/dismembered ureteroplasty)256

第二节 输尿管手术257

Ⅵ-5 输尿管皮肤造口术(cutaneous ureterostomy)257

Ⅵ-6 抗返流输尿管膀胱再植术〔ureteral reimplantation(Cohen operation)〕258

第三节 膀胱手术260

Ⅵ-7 膀胱造口术(cystostomy)260

Ⅵ-8 新生儿膀胱外翻缝合术(closure of extrophy of bladder in newborns)261

Ⅵ-9 膀胱外翻修复术(髂骨截骨术) 〔closure of extrophy of bladder(iliac osteotomy)〕265

Ⅵ-10 二期尿道上裂修复术(two-stage repair of epispadias)265

Ⅵ-11膀胱憩室切除术(excision of vesical diverticulum)267

Ⅵ-12 尿失禁-膀胱颈重建术(urinary incontinence/bladder neck reconstruc-tion)268

Ⅵ-13 尿道下裂-尿道口前移阴茎成形术(hypospadias/Magpi procedure)271

第四节 尿道手术271

Ⅵ-14 尿道下裂-尿道口基底皮瓣翻转尿道成形术(hypospadias/Mathieu procedure)272

Ⅵ-15 尿道下裂-横截带蒂岛状包皮瓣尿道成形术(hypospadias/Duckett procedure)273

Ⅵ-16 尿道下裂-横截岛状包皮加会阴皮管尿道成形术(hypospadias/Duckett-Duplay procedure)275

Ⅵ-17 尿道下裂-改良皮条埋藏法尿道成形术(hypospadias/Dennis-Browne procedure)275

Ⅵ-18 尿道下裂-尿道瘘修补术(Y-V修补术) 〔(repair of urethra fistula)(Y-Vplasty)〕276

Ⅵ-19 尿道下裂-尿道修补术(Thiersch皮管法) 〔repair of urethra fistula (Thiersch cutaneous tube met277

Ⅵ-20 后尿道瓣膜-经尿道镜切开术(posterior urethral valve/urethroscopic valvotomy)278

Ⅵ-21 前尿道瓣膜-经尿道镜切开术(anterior urethral valve/urethroscopic valvotomy)279

Ⅵ-22 开放性前尿道瓣膜切除术 (open valvectomy of urethra)279

Ⅵ-23 外伤性尿道狭窄-经尿道镜狭窄切开术(traumatic urethral stricture/urethorscopic stricturotomy)280

Ⅵ-24 经会阴切口尿道吻合术(perineal urethral anastomosis)281

Ⅵ-25 经耻骨会阴联合入路尿道修补术(combined transpubic and perineal repair of urethra)283

Ⅵ-26 外伤性尿道闭锁-经会阴尿道造瘘(traumatic urethral atresia/perineal urethrostomy)284

第五节 阴茎手术285

Ⅵ-27 嵌顿包茎-松解术(paraphimosis/reduction of paraphimosis)285

Ⅵ-28 阴茎阴囊转位-整复术(scroto-penial transposition/repair)286

第六节 女性外阴手术286

Ⅵ-29 阴蒂缩短成形术(plastic operaxion of clitoris)286

Ⅵ-30 女性尿道粘膜脱垂-环切术(female urethral prolapse/excision)287

第七章 心胸外科手术 高国庆 贺延儒289

第一节 先天性心脏血管疾病外科手术289

Ⅶ-1 先天性主动脉缩窄-主动脉成形术(coarctation of aorta/repair)289

Ⅶ-2 法鲁四联症-根治手术(tetralogy of Fellot/redical operation)291

Ⅶ-3 动脉导管未闭-切断缝合术(patent ductus arteriosus/duviding and suturing)294

Ⅶ-4 室间隔缺损-修补术(ventricular septal defect/repair)296

Ⅶ-5房间隔缺损-修补术(atrial septal defect/repair)300

Ⅶ-6先天性肺动脉瓣狭窄-经皮球囊扩张术(congenital stenosis of pulmonary valves/trascutaneous balloon304

第二节 普胸手术307

Ⅶ-7 小儿脓胸-胸腔穿刺(empyema/thoracentesis)307

Ⅶ-8 张力气胸-引流(tension pneumothorax/drainage)308

Ⅶ-9 先天性漏斗胸-胸骨肋骨“V”形截骨(congenital pectus excavatum/osteo-chondritomy)309

Ⅶ-10 鸡胸-胸骨肋骨截骨和沉降术(pectus carinatum/osteochondrotomy and depressive repair)313

Ⅶ-11 先天性食管裂孔疝-改良Bclsey-MarkⅣ手术(congenital biatal hernia/modified Belsey-Mark Ⅳ proc315

Ⅶ-12 先天性贲门痉挛症-贲门肌层切开（Heller手术）和膈肌瓣成形术(congenital cardiac achalasia/Heller317

Ⅶ-13 小儿食管良性狭窄-截除吻合术(benign esophagcal stenosis/resection and anastomois)319

第一节 先天性颈和上肢畸形矫治手术322

Ⅷ-1 先天性肌性斜颈-胸锁乳突肌延长术(congenital torticollis/lengthening of sternoclirdomastoid muscl322

第八章 矫形外科手术 张建立322

Ⅷ-2 先天性高肩胛症-矫正术〔congenital high scapula /correction(Woodward operation)〕323

Ⅷ-3先天性拇指狭窄性腱鞘炎-松解术(congenital stenosing tenosynovitis of thumb/lysis)325

第二节 先天性髋关节脱位手术326

Ⅷ-4 先天性髋关节脱位-内侧入路切开复位〔congenital dislocation of the hip (CDH)/open reduction throu326

Ⅷ-5 先天性髋关节脱位-前外侧入路切开复位(CDH/open reduction through anteriolateral approach)327

Ⅷ-6 先天性髋关节脱位-Salter截骨术(髂骨截骨术)(CDH/Salter iliac osteotomy)328

Ⅷ-7 先天性髋关节脱位-Pemberton髂骨截骨术(CDH/Pemberton iliac osteotomy)329

Ⅷ-8 先天性髋关节脱位-Chiari骨盆内移截骨术(CDH/Chiari osteotomy)330

第三节 先天性畸形足手术332

Ⅷ-9先天性马蹄内翻足-矫正术〔congenital talipes equinovarus(TEV) / correction〕332

Ⅷ-11 先天性垂直距骨-矫正术(congenital vertical talus/correction)335

Ⅷ-12 先天性小趾内翻-矫正术(congenital fifth varus phalanx/correction)336

第四节 骨病手术337

Ⅷ-13 股骨头变形-股骨大转子下移和外移术(deformity of femoral head/inferiolateral transplantation of337

Ⅷ-14 骨软骨瘤(骨疣)切除(osteochondroma /excision)339

Ⅷ-15 单房性骨囊肿-刮除植骨术(bone cyst/oesteal curettage and grafting)340

Ⅷ-16胫内翻(Blount病)-截骨术〔inversion of tibia(Blount disease)/osteotomy of tibia〕341

Ⅷ-17 发育性髋内翻-股骨粗隆间截骨术(developmental coxavarus/femoral intertrochanterostcotomy)342

Ⅷ-18 肘内翻-髁上截骨术(cubitus varus/supracondylar osteotomy)343

第五节 关节疾病手术344

Ⅷ-19 屡发性髌骨脱位-Green股四头肌成形术(recurrent dislocation of the patella/Green plastic operat344

Ⅷ-20 腘窝囊肿-切除术(popliteal cyst/excision)345

Ⅷ-21 膝关节盘状软骨-切除术(discoid meniscus/excision)346

Ⅷ-22 脑瘫-内收拇指肌“Z”形延长术(cerebral palsy/adductor pollicis“Z”lengthening)348

第六节 脑瘫后遗症的矫治手术348

Ⅷ-23 脑瘫-内收拇指肌挛缩松解术(cerebral palsy/adductor pollicis lysis)349

Ⅷ-24 脑瘫-前臂指腕屈肌分段延长术(cerebral palsy/lengthening of flexor dilitorum)350

Ⅷ-25 脑瘫-股内收肌切断和闭孔神经前支切断术(crerbral palsy/division of femoral adductor and anterior351

Ⅷ-26 脑瘫-腓肠肌的胫神经截断术(cerebral palsy/neurectomy of gastro-cnemius)352

Ⅷ-27 脑瘫-腓肠肌延长术(Pulpius)〔cerebral palsy/lengthening of gastro-cnemius(Palpiusperation)〕353

Ⅷ-28 脑瘫-腘绳肌分段延长术(cerehral palsy/lengthening of the hamstring muscles)353

Ⅷ-29 脑瘫-跟腱延长术(cerehral palsy/lengthening of achilles tendon)355

Ⅷ-30 脑瘫-神经外科疗法(选择性后根切断术) 〔cerchral palsy/neurcosur-gical therapy(selective posteri356

第七节 脊髓灰质炎后遗症手术359

Ⅷ-31 脊髓灰质炎后遗症-背阔肌转移代肘屈肌〔sequela of poliomyelitis (SP)/reconstruction of elbow fle359

Ⅷ-32 脊髓灰质炎后遗症-髂腰肌转移代髋外展肌(SP/iliopsoas transference for reconstruction of abductor360

Ⅷ-33 脊髓灰质炎后遗症-背伸肌和阔筋膜代臀肌(SP/transference of tensor dorsi and-fascia lata for reco362

Ⅷ-34 脊髓灰质炎后遗症-腘绳肌代股四头肌(SP/transference of hamstring muscles for reconstruction of f362

Ⅷ-35 脊髓灰质炎后遗症-距骨下关节外关节融合术(Grice法) 〔SP/extra-articular subtalar arthrodesis(Gri363

Ⅷ-36 脊髓灰质炎后遗症-胫后肌经骨间膜前移(SP/transinterosteoseptum anterior transference of posterio364

Ⅷ-37 脊髓灰质炎后遗症-腓骨长肌前移至第2跖骨基底(SP/transference of peroneus longus to the base of t366

Ⅷ-38 脊髓灰质炎后遗症-三关节融合固定术(SP/triple arthrodesis)367

Ⅷ-39 下肢不等长-胫骨近端骺固定(unequal length of lower limbs/proximal tibia epiphyseopexy)369

第八节 下肢不等长手术369

Ⅷ-40 下肢不等长-Ilizarov技术(unequal Iength of lower limbs/Ilizarov technique)370

第九章 神经外科手术 牛文英371

第一节 颅脑手术371

Ⅸ-1 脑积水-脑室-腹腔分流术(hydrocephalus/venticulo-peritoneal drainage)371

Ⅸ-2后颅窝肿瘤-切除术(rumor of posterior cranial fossa/removal)374

Ⅸ-3 颞叶胶质瘤-切除术(temporal glioma/excision)375

Ⅸ-4 鼻根脑膜膨出-两期修补术(nasofrontal meningocele/two-stage repair)378

第二节 脊髓手术381

Ⅸ-5 脊膜膨出-修补术(myelomenigocele/repair)381

Ⅸ-6 椎管内髓外皮肤异位性囊肿-切除术(intraspinal dermoid/excision)383

第十章 连体儿手术 张金哲386

第一节 对称连体儿手术386

Ⅹ-1 剑突连体儿-肝桥分离术〔xiphopagus/separation(liver bridgc)〕386

Ⅹ-2 臀部连体儿-一期肛门分离术〔ischiopagus/separation(common anus)〕389

第二节 不对称连体儿手术392

Ⅹ-3 骶尾胎中胎-尾路切除术(sacrococcygeal fetus in fetu/excision)392

Ⅹ-4 三下肢畸形-多肢矫形术(three-leg deformity/excision of extra leg)394

手术索引 王义398

中文手术名称索引(按首字笔画排列)398

英文手术名称索引(按字母排列)405