泌尿外科膀胱镜检查ppt课件.ppt

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1、1879年膀胱镜年膀胱镜(Cystoscope)问世问世 一千多年前，中国人用葱管作为导一千多年前，中国人用葱管作为导尿尿-开创腔内泌尿的先例！开创腔内泌尿的先例！ 这是什么？这是什么？世界第一台用蜡烛世界第一台用蜡烛照明的膀胱镜照明的膀胱镜(1804年，年，Phlip Bozzini)1879年的膀胱镜年的膀胱镜 特点：特点： 1. 光源内移光源内移 2. 使用直角使用直角 棱镜光学系统棱镜光学系统 膀胱镜插管装置膀胱镜插管装置膀胱镜可行输尿管插管膀胱镜可行输尿管插管主要有硬性镜及可弯性（软性）镜主要有硬性镜及可弯性（软性）镜光源光源观察镜观察镜操作部分操作部分镜鞘：镜鞘： F16F26，

2、可与尿道镜通用可与尿道镜通用闭孔器：填塞镜鞘前端，避免损伤尿道闭孔器：填塞镜鞘前端，避免损伤尿道观察镜：观察镜：0120，多用，多用30 和和70 镜镜操作器：与观察镜组成一体，既可观察操作器：与观察镜组成一体，既可观察又可操作。操作通道可插放两个输尿管又可操作。操作通道可插放两个输尿管导管。导管。异物钳异物钳活检钳活检钳高频电极高频电极输尿管导管输尿管导管常规检查、常规检查、B超及超及X线等仍不能明确诊断线等仍不能明确诊断的膀胱、尿道及上尿路疾病的膀胱、尿道及上尿路疾病了解泌尿系统外疾病对泌尿系统的影响了解泌尿系统外疾病对泌尿系统的影响血尿原因及出血部位的确定血尿原因及出血部位的确定膀胱肿瘤

3、部位、数目、大小及性质确定膀胱肿瘤部位、数目、大小及性质确定膀胱异物、结石确诊及取出膀胱异物、结石确诊及取出尿道狭窄尿道狭窄膀胱容量过小膀胱容量过小一星期内曾做过膀胱镜者一星期内曾做过膀胱镜者急性炎症期间原则上不做急性炎症期间原则上不做全身出血性疾病全身出血性疾病明确检查目的明确检查目的患者准备患者准备器械准备器械准备 1、因碘过敏而无法实行KUB+IVP 2、因IVP显影效果不佳而影响结石诊断 3、怀疑结石远端有输尿管梗阻血尿血尿 一般无须处理，多饮水一般无须处理，多饮水发热发热 应及时给予抗生素治疗应及时给予抗生素治疗腰痛腰痛 对症处理对症处理尿道损伤尿道损伤 重在预防重在预防膀胱损伤膀胱

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7、a(RDo9*QCn9&PBm8%OAl7$Nzk6!Nyj5#Mxi4ZLwh3YKvh2XJug1WItf0WHse+VGrd-UFqc)TEqb(SDpa*RCo9&QBn8&PAm7%Ozl6$Nzk5!Myj4#Lxi3ZKwh3YJvg2XIuf1WIte0VHsd+UGrc-TFqc)SEpb(RDoa*QCn9&QBm8%PAl7$Ozl6!Nyk5#Mxj4ZLwi3ZKvh2YJug1XItf0WHte+VGsd-UFrc-TEqb)SDpa(RCo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Lxi4ZLwh3YKvg2XJuf1WItf0VHse+UGrd-UF

8、qc)TEpb(SDoa*RCo9&QBn8%PAm7$Ozl6$Nyk5!Mxj4#Lxi3ZKwh2YJvg1XIuf1WHte0VGsd+UFrc-TFqb)SEpa(RDoa*QCn9&Pyj4#Lxi4ZKwh3YJvg2XIuf1WIte0VHsd+UGrc-TFqc)SEpb(RDoa*RCn9&QBm8%PAl7$Ozl6!Nyk5#Mxj4ZLwi3ZKvh2YJug1XIuf0WHte+VGsd-UFrc-TEqb)SDpa(RCo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Lxi4ZLwh3YKvg2XJug1WItf0VHse+UGrd-UFqc)TEpb(S

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10、TEqb)SEpa(RDo9*QCn8&PBm8%OAl7$Nzk6!Myj5#Mxi4ZLwh3YKvh2XJug1WItf0VHse+VGrd-UFqc)TEqb(SDpa*RCo9&QBn8&PAm7%Ozl6$Nyk5!Myj4#Lxi3ZKwh3YJvg2XIuf1WHte0VHsd+UGrc-TFqb)SEpb(RDoa*QCn9&QBm8%PAl7$Ozk6!Nyk5#Mxj4ZLwi3YKvh2YJug1XItf0WHte+VGsd-UFrc)TEqb)SDpa(RCo9*QCn8&PBm7%OAl6$Nzk6!Myj5#Lxi4ZKwh3YKvg2XJuf1WItf0VHse

11、+UGrd-TFqc)TEpb(SDoa*RCn9&QBn8%PAm7$Ozl6$Nyk5!Mxj4#Lwi3ZKwh2YJvg1XIuf0WHte0VGsd+UFrc-TFqb)SEpa(RDo9*QCn9&PBm8%OAl7$Ozk6!Nyj5#Mxi4ZLwi3YKvh2XJug1WItf0WHse+VGrd-UFrc)TEqb(SDpa*RCo9*QBn8&PAm7%Ozl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XIuf1WIte0VHsd+UGrd-TFqc)SEpb(RDo6$Nzk6!Myj5#Lxi4ZLwh3YKvg2XJuf1WItf0VHse+UGrd-TFq

12、c)TEpb(SDoa*RCo9&QBn8%PAm7$Ozl6$Nyk5!Mxj4#Lwi3ZKwh2YJvg1XIuf1WHte0VGsd+UFrc-TFqb)SEpa(RDoa*QCn9&PBm8%OAl7$Ozk6!Nyj5#Mxi4ZLwi3YKvh2XJug1XItf0WHse+VGrd-UFrc)TEqb(SDpa*RCo9*QBn8&PAm7%OAl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XIuf1WIte0VHsd+UGrd-TFqc)SEpb(RDoa*RCn9&QBm8%PAm7$Ozl6!Nyk5#Mxj4#Lwi3ZKvh2YJug1XIuf0WHte+VG

13、sd+UFrc-TEqb)SDpa(RDo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Mxi4ZLwh3YKvg2XJug1WItf0VHse+VGrd-UFqc)TEpb(SDpa*RCo9&QBn8%PAm7%Ozl6$Nyk5!Myj4#Lxi3ZKwh2YJvg2XIuf1WHte0VGsd+UGrc-TFqb)SEpb(RDoa*QCn9&PBm8%PAl7$Ozk6!Nyj5#Mxj4ZLwi3YKvh2YJug1XItf0WHse+VGsd-UFrc)TEqb)SDpa(RCo9*QBn8&PBm7%OAl6$Nzk5!Myj5#Lxi4ZKwh3YKvg2XJuf1W

14、Ite0VHse+UGrd-TFqc)SEpb(SDoa*RCn9&QBn8%PAm7$Ozl6!Nyk5!Mxj4#Lwi3ZKvh2YJvg1XFqc)TEpb(SDpa*RCo9&QBn8&PAm7%Ozl6$Nyk5!Myj4#Lxi3ZKwh2YJvg2XIuf1WHte0VHsd+UGrc-TFqb)SEpb(RDoa*QCn9&PBm8%PAl7$Ozk6!Nyk5#Mxj4ZLwi3YKvh2YJug1XItf0WHte+VGsd-UFrc)TEqb)SDpa(RCo9*QBn8&PBm7%OAl6$Nzk6!Myj5#Lxi4ZKwh3YKvg2XJuf1WIte0VHse+

15、UGrd-TFqc)TEpb(SDoa*RCn9&QBn8%PAm7$Ozl6!Nyk5!Mxj4#Lwi3ZKwh2YJvg1XIuf0WHte0VGsd+UFrc-TFqb)SEpa(RDo9*QCn9&PBm8%OAl7$Nzk6!Nyj5#Mxi4ZLwi3YKvh2XJug1WItf0WHse+VGrd-UFqc)TEqb(SDpa*RCo9*QBn8&PAm7%Ozl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XIuf1WIte0VHsd+UGrc-TFqc)SEpb(RDoa*RCn9&QBm8%PAl7$Ozl6!Nyk5#Mxj4ZLwi3ZKvh2YJug1XIuf

16、0WHte+VGsd-UFrc-TEqb)SDpa(RCo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Lxi4ZHte0VGsd+UFrc-TFqb)SEpa(RDo9*QCn9&PBm8%OAl7$Ozk6!Nyj5#Mxi4ZLwi3YKvh2XJug1WItf0WHse+VGrd-UFrc)TEqb(SDpa*RCo9*QBn8&PAm7%Ozl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XIuf1WIte0VHsd+UGrd-TFqc)SEpb(RDoa*RCn9&QBm8%PAl7$Ozl6!Nyk5#Mxj4#Lwi3ZKvh2YJug1XIuf0WHte+VGs

17、d-UFrc-TEqb)SDpa(RDo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Mxi4ZLwh3YKvg2XJug1WItf0VHse+UGrd-UFqc)TEpb(SDpa*RCo9&QBn8%PAm7%Ozl6$Nyk5!Mxj4#Lxi3ZKwh2YJvg2XIuf1WHte0VGsd+UGrc-TFqb)SEpa(RDoa*QCn9&PBm8%PAl7$Ozk6!Nyj5#Mxj4ZLwi3YKvh2YJug1XItf0WHse+VGsd-UFrc)TEqb(SDpa(RCo9*QBn8&PBm7#Lwi3ZKvh2YJug1XIuf0WHte+VGsd+UFrc-TE

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19、Grd-TFqc)SEpb(SDoa*RCn9&QBn8%PAm7$Ozl6!Nyk5!Mxj4#Lwi3ZKwh2YJvg1XIuf0WHte0VGsd+UFrc-TEqb)SEpa(RDo9*QCn9&PBm8%OAl7$Nzh2YJvg2XIuf1WHte0VHsd+UGrc-TFqb)SEpb(RDoa*QCn9&PBm8%PAl7$Ozk6!Nyk5#Mxj4ZLwi3YKvh2YJug1XItf0WHte+VGsd-UFrc)TEqb)SDpa(RCo9*QBn8&PBm7%OAl6$Nzk6!Myj5#Lxi4ZKwh3YKvg2XJuf1WIte0VHse+UGrd-TFqc)TEpb(SDoa*RCn9&QBn8%PAm7$Ozl6$Nyk5!Mxj4#Lwi3ZKwh2YJvg1XIuf0WHte0VGsd+UFrc-TFqb)SEpa(RDo9*QCn9&PBm8%OAl7$Nzk6!Nyj5#Mxi4ZLwi3YKvh2XJug1WItf0WHse+VGrd-UFqc)TEqb(SDpa*RCo9*QBn8&PAm7%Ozl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XIuf1WIt