《产科手术学(原书第4版)》（美）约瑟夫·J．阿普齐奥著【摘要书评在线阅读】-苏宁易购图书

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作者：（美）约瑟夫·J．阿普齐奥著| 刘俊涛//周希亚译
出版社：中国科学技术出版社
出版时间：2018-08-01 00:00:00
版次：11
印次：1
印刷时间：2019-04-01
页数：548
开本：16开
装帧：平装
ISBN：9787504682420
国别/地区：中国
版权提供：中国科学技术出版社

产科手术学(原书第4版)

作者:（美）约瑟夫·J．阿普齐奥著刘俊涛//周希亚译

定价:398

出版社:中国科学技术出版社

出版日期:2018年08月01日

页数:548

装帧:精装

ISBN:9787504682420

？？引进自美国CRC出版社，是由全球40余家医（学）院及母胎医学中心的80余位医学专家联袂编写的高质量母胎医学专著。？？近期新第4版，历经20余年的不懈修订，堪称全球产科、母胎和围产医学临床诊断、治疗手段的国际权威性著作，为母胎医学和产科手术的实践作出了巨大贡献，备受关注。？？全书共40章，340余幅全彩图片，阐述全面细腻，除介绍常规产科手术外，还将绒毛取样、羊膜腔穿刺、胎儿输血、脐血穿刺、妊娠期恶性肿瘤、妊娠期滋养细胞疾病等单列成章，可谓考虑周全、用心良苦。

母胎医学是一门致力于母婴健康、减少出生缺陷、提高出生人口素质的新学科，其从医学角度将母体与胎儿置于同等地位。近10年来，欧美的母胎医学已获得了长足的发展，而在亚洲的发展还处在起步阶段。本书是引自美国CRC出版社的高质量母胎医学著作，由来自全球40余家医（学）院的80余位母胎医学专家联袂编写。历经20余年的不懈修订，全新第4版对母胎医学的发展现状及治疗趋势进行了全面描述，并细致阐述了盆腹腔解剖、正常分娩、助产技术、剖宫产、多胎分娩、产科麻醉等专业内容，深入讲解了子宫瘢痕妊娠、妊娠期妇科肿瘤、外科并发症的处理技巧，详细展示了介入性产前诊断操作技术、宫内微创胎儿治疗、开放性胎儿手术等母胎医学领域的新进展。

刘俊涛，男，临床医学博士，北京协和医院妇产科学系副主任、产科中心主任，主任医师，博士研究生导师，全国产前诊断技术专家组成员。主要研究方向为产前诊断与母胎医学，对产科手术具有丰富的临床经验。兼任中华医学会围产医学分会常委，中国优生科学协会副会长，北京医学会围产医学分会副主委，中国医师协会遗传医师分会产前诊断专委会主任委员等职务。1999—2000年，作为高级访问学者去往澳大利亚 Royal Women's Hospital工作。承担及参与重量、省部级课题共10余项，科研成果获国家医学科技奖二等奖。周希亚，女，中国协和医科大学临床医学系医学博士，北京协和医院产科中心副主任医师，主要研究方向为母胎医学。兼任中华医学会儿科分会出生缺陷防治委员会委员，中国医师协会遗传分会产前诊断委员会委员，北京医学会围产医学分会委员，北京医学会早产与早产儿分会委员等。2011年于英国King's College Hnull

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目录第 1 章前腹壁、子宫及盆腔器官的解剖一、前腹壁······························· 1二、子宫································· 7三、输卵管······························ 14四、卵巢································ 14五、子宫的韧带·························· 15六、子宫的血管、淋巴和神经·············· 15七、输尿管的盆腔部分···················· 17八、膀胱和尿道·························· 18九、乙状结肠、直肠和肛管················ 19十、妊娠期肥胖·························· 19第 2 章 _x005f会阴、外阴、阴道的局部解剖一、外阴································ 22二、会阴································ 24三、阴道································ 26第 3 章临床骨盆测量一、骨盆解剖···························· 28二、产科骨盆···························· 29三、骨盆形状···························· 30四、临床骨盆测量························ 31第 4 章孕早期胚胎胎儿镜一、概述································ 34二、历史································ 34三、技术································ 35四、应用································ 36五、伦理问题···························· 40六、总结································ 40第 5 章绒毛膜取样一、概述································ 43二、取样过程···························· 44三、CVS 的实验室部分 ··················· 47四、CVS 的安全性 ······················· 47五、CVS 的准确性 ······················· 51六、开展 CVS 项目······················· 52七、CVS 的接受度 ······················· 53第 6 章羊膜腔穿刺一、概述································ 57二、羊膜腔穿刺在遗传学检查中的应用······ 57三、胎肺成熟度检测······················ 59四、同种免疫···························· 59五、羊膜腔穿刺技术······················ 59六、多胎妊娠的羊膜腔穿刺················ 61七、羊膜腔穿刺的并发症·················· 62八、总结································ 62第 7 章胎儿宫内输血一、胎儿贫血的病因······················ 65二、总结································ 83第 8 章减胎及选择性减胎一、概述································ 87二、总结································ 98第 9 章自然流产和人工流产一、流产的定义及临床表现··············· 101二、发生率····························· 103三、病因······························· 103四、病理······························· 105五、诊断······························· 106六、治疗······························· 107七、孕早期的手术治疗··················· 108八、扩宫和刮宫法进行清宫··············· 110九、负压吸宫术（扩宫和清宫）············ 111十、药物流产··························· 112十一、稽留流产的处理··················· 113十二、自然流产的预防··················· 116十三、中期引产························· 117十四、关于妊娠结局的临床决策··········· 120十五、多胎妊娠的选择性减胎············· 121十六、胚胎病理和胎儿病理··············· 122十七、流产后咨询······················· 123第 10 章经皮宫内胎儿分流一、胎儿下尿路梗阻····················· 127二、胎儿膀胱出口梗阻的病理生理········· 128三、胎儿膀胱出口梗阻的筛查和诊断评估··· 130四、下尿路梗阻的干预技术··············· 130五、下尿路梗阻分流治疗的小结··········· 133六、胸腔疾病进行宫内分流的简介········· 133七、先天性肺气道畸形··················· 136八、对先天性肺气道畸形胎儿进行分流治疗的选择标准····················· 137九、胸腔穿刺和胸腔羊膜腔分流技术······· 137十、总结······························· 139十一、结论····························· 139第 11 章脐血管穿刺术一、概述······························· 141二、方法······························· 141三、脐血管穿刺术的主要并发症和风险因素······························· 143四、脐血管穿刺术的适应证和应用········· 145第 12 章微创胎儿手术——Colorado 途径一、概述······························· 154二、结构畸形的胎儿镜治疗··············· 154三、单绒毛膜双胎并发症的胎儿镜治疗····· 161四、双胎输血综合征····················· 162五、胎儿内镜手术的并发症··············· 164六、总结······························· 165第 13 章胎儿手术——Texas 儿童胎儿中心方法一、胎儿手术简史······················· 168二、开放性胎儿手术及其并发症··········· 169三、开放性胎儿手术治疗的疾病··········· 171四、胎儿镜手术：Texas 方法及并发症····· 174五、胎儿镜治疗的疾病··················· 175六、超声引导下的胎儿干预措施：技术和并发症····························· 178七、超声引导下的胎儿干预措施治疗的疾病······························· 179八、子宫外产时治疗····················· 182九、胎儿手术的未来····················· 182第 14 章宫颈功能不全一、宫颈功能不全定义··················· 186二、发病率····························· 186三、人类宫颈的解剖和生理··············· 187四、可能病因与相关因素················· 187五、诊断方法··························· 187六、处理······························· 190七、结论······························· 200第 15 章晚期异位妊娠一、腹腔妊娠··························· 205二、输卵管妊娠························· 205三、宫颈妊娠··························· 205四、卵巢妊娠··························· 206五、韧带内妊娠························· 206六、残角子宫妊娠······················· 207七、诊断性评估························· 207八、治疗······························· 210九、结论······························· 212第 16 章胎儿畸形情况下剖宫产的使用一、概述······························· 215二、致死性畸形························· 215三、非致死性畸形······················· 217四、其他考虑··························· 221五、总结······························· 221第 17 章死胎的评估和管理一、死胎的诊断························· 223二、死胎的评估························· 224三、死胎的处理························· 227四、胎死宫内的情感问题················· 229五、总结······························· 230第 18 章产前出血一、胎盘早剥··························· 232二、前置胎盘··························· 236三、胎盘粘连、植入和穿透··············· 237四、前置血管与脐带帆状附着············· 239五、绒毛膜外胎盘······················· 239第 19 章产时胎心监护一、概述······························· 243二、病理生理··························· 244三、间断的胎心率监护··················· 244四、连续的电子胎心率监护··············· 244五、电子胎心率监护指南的解读··········· 245六、胎心率模式的不同组成部分的重要性··· 245七、胎心率模式的分类和它们的解读与管理······························· 249八、Ⅱ类胎心率模式的管理··············· 249九、胎心率模式在产程中的变化··············· 250十、胎儿感染和胎心率模式··············· 251十一、胎儿头皮血取样··················· 253十二、胎儿头皮刺激····················· 253十三、特殊情况························· 253十四、新技术：胎儿心电图 ST 段的分析 ····255十五、脐带血酸碱状态··················· 256十六、持续胎心率监护对分娩结局的影响··· 256第 20 章正常阴道分娩一、胎头分娩··························· 261二、胎体娩出··························· 262三、断脐······························· 262四、胎盘娩出··························· 263五、缩宫素的应用······················· 264六、胎盘滞留的处理····················· 265七、第四产程的处理····················· 265八、会阴切开术的应用··················· 266九、会阴切开技术······················· 266十、会阴切开的并发症··················· 266十一、会阴切开的缝合··················· 266十二、胎头先露异常的分娩··············· 268十三、胎头旋转不良····················· 268十四、早产儿的阴道分娩················· 269第 21 章肩难产一、定义······························· 271二、发病率····························· 271三、发病因素··························· 272四、预测与预防························· 272五、处理······························· 273六、主要手法··························· 274七、怎样实施主要手法··················· 276八、培训：模拟和演练··················· 276九、并发症····························· 276十、记录和报告························· 277十一、总结····························· 277第 22 章产后出血一、定义与分类························· 280二、危险因素与预防····················· 281三、诊断······························· 281四、处理的一般原则····················· 282五、第三产程的处理····················· 283六、子宫收缩乏力······················· 284七、胎盘残留··························· 285八、手取胎盘··························· 285九、胎盘粘连、胎盘植入与胎盘穿透性植入······························· 286十、其他病因··························· 287十一、血管造影栓塞术··················· 287十二、主动脉压迫······················· 288十三、抗休克裤························· 288十四、手术治疗························· 289十五、子宫动脉结扎····················· 289十六、髂内动脉结扎····················· 290十七、卵巢动脉结扎····················· 292十八、B-Lynch 缝合 ···················· 292十九、围生期子宫切除术················· 293二十、子宫破裂························· 294二十一、凝血功能障碍性疾病············· 294二十二、药物治疗······················· 294二十三、失血及血液补充················· 295二十四、迟发性产后出血················· 296第 23 章产钳助产一、产钳助产的简要发展史··············· 304二、产钳的分类························· 305三、产钳助产的传统分类················· 306四、产钳助产的现代分类················· 307五、产钳助产的适应证··················· 308六、产钳助产需要的辅助条件············· 308七、产钳助产的操作过程················· 308八、产钳助产的现状和观点··············· 317第 24 章胎头吸引器阴道助产一、历史······························· 321二、胎头吸引器的组成部分··············· 322三、胎头吸引器的使用··················· 324四、胎头吸引器的使用指征，适应证和禁忌证····························· 324五、技术和手法························· 325六、后置杯头的吸引器使用标准流程······· 329七、牵引力和牵引时长··················· 330八、特殊情况··························· 330九、超声和器械助产····················· 331十、硬膜外镇痛和器械助产··············· 331十一、产妇损伤和发病率················· 333十二、新生儿损伤和发病率··············· 334十三、培训····························· 335十四、胎头吸引助产须谨记的十条规则····· 336第 25 章胎先露异常一、臀先露····························· 340二、处理原则··························· 341三、臀位分娩··························· 342四、胎头嵌顿··························· 346五、接近臀牵引术······················· 346六、内倒转术··························· 346七、外倒转术··························· 347八、总体考虑··························· 348九、横产式····························· 349第 26 章双胎和多胎分娩一、对所有双胎实施剖宫产··············· 353二、双胎经阴道分娩····················· 354三、与多胎分娩相关的特殊情况·············358四、结语······························· 362第 27 章母体产伤一、操作······························· 366二、会阴和外阴损伤····················· 367三、阴道裂伤··························· 370四、宫颈裂伤··························· 371五、子宫破裂··························· 372六、早期其他损伤······················· 375第 28 章产后子宫内翻一、分类······························· 382二、发生率····························· 382三、流行病学··························· 383四、病因······························· 383五、病理生理··························· 383六、死亡率····························· 383七、预防······························· 383八、诊断······························· 385九、治疗······························· 385十、复发······························· 389第 29 章伤口缝合与引流一、正常伤口愈合······················· 392二、不愈合伤口························· 393三、伤口愈合的类型····················· 394四、缝合材料··························· 394五、打结······························· 397六、缝针······························· 397七、引流······························· 398八、产科手术器械······················· 398第 30 章剖宫产一、剖宫产适应证······················· 403二、剖宫产后阴道试产的人选············· 406三、剖宫产切口的类型··················· 407四、与剖宫产技术相关的并发症··············· 413五、手术并发症························· 418六、术后过程和管理····················· 420七、术后并发症························· 420八、死后剖宫产························· 421第 31 章手术部位感染的预防一、手术服····························· 424二、围术期干预························· 426三、手术室环境························· 430四、标准预防措施······················· 431五、围术期预防性抗生素················· 432六、抗生素预防性用于其他产科操作······· 434七、妊娠期肥胖························· 435第 32 章剖宫产瘢痕妊娠一、概述······························· 439二、剖宫产瘢痕的背景和情况············· 439三、剖宫产瘢痕妊娠的超声诊断和鉴别诊断··························· 442四、CSP 的结局和自然病程 ·············· 444五、治疗方式的选择····················· 448六、处理方案与患者决策················· 449七、进一步治疗························· 452八、再次妊娠··························· 452九、双胎 CSP 的难题···················· 453十、总结······························· 453第 33 章产科麻醉一、宫颈环扎术························· 456二、普通外科手术······················· 458三、分娩镇痛··························· 459四、剖宫产····························· 462五、剖宫产术后的疼痛管理··············· 463六、特别关注··························· 464七、总结······························· 465第 34 章妊娠期心脏监测一、概述······························· 467二、孕期心血管系统的生理性改变····················467三、孕期心脏的无创监测················· 467四、孕期心脏的有创监测················· 469五、特殊病情及血流动力学评估··············· 472六、心脏有创监测的风险················· 476七、新的监测方法······················· 477八、多学科协作························· 477第 35 章孕期创伤一、概述······························· 480二、流行病学··························· 480三、对急性创伤孕妇的评估与处理········· 481四、院前阶段··························· 482五、初步监测··························· 482六、气道和呼吸························· 482七、循环······························· 483八、残疾······························· 483九、暴露······························· 483十、进一步监测························· 483十一、评估胎母出血····················· 485十二、凝血和创伤······················· 485十三、孕期影像学检查方法及特殊考虑····· 486十四、孕期非产科手术··················· 487十五、心脏停搏························· 487第 36 章孕期手术一、阑尾炎····························· 490二、胆道疾病··························· 491三、胰腺炎····························· 491四、肠梗阻····························· 492五、腹腔内出血························· 492六、炎性肠病··························· 492七、深静脉血栓························· 493八、妊娠患者的影像学检查··············· 493九、妊娠相关的肿瘤及相关内分泌问题····· 494十、产后乳房肿物的诊断和治疗··············· 494十一、诊断····························· 495十二、治疗前分期······················· 495十三、治疗····························· 495十四、乳腺癌幸存者的后续妊娠··············· 496十五、黑色素瘤························· 496十六、淋巴瘤··························· 497十七、内分泌肿瘤······················· 499第 37 章妊娠期泌尿系统并发症一、妊娠期生理变化····················· 504二、泌尿系统感染和肾盂肾炎············· 505三、妊娠期肾结石······················· 506四、肾盂输尿管积水和自发性肾破裂······· 508五、既往膀胱扩大术或尿道改流术后······· 508六、泌尿系统恶性肿瘤··················· 508七、尿路损伤··························· 509第 38 章妊娠期女性生殖系统恶性肿瘤和癌前病变的管理一、宫颈浸润前病变····················· 514二、宫颈浸润癌························· 516三、附件肿瘤和卵巢癌··················· 521四、结论······························· 523第 39 章妊娠滋养细胞疾病一、流行病学··························· 527二、葡萄胎的发病机制与分类············· 528三、临床表现··························· 529四、诊断······························· 530五、妊娠滋养细胞疾病的并发症··········· 531六、葡萄胎的治疗与随访················· 532七、妊娠滋养细胞肿瘤的治疗············· 534八、化疗······························· 535第 40 章患者安全一、概述······························· 539二、医疗过失··························· 540三、关注患者安全的倡议················· 542四、安全文化··························· 544五、报告和衡量安全····················· 545六、其他······························· 546

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