泌尿外科膀胱鏡檢查課件

泌尿外科膀胱鏡檢查泌尿外科膀胱鏡檢查1泌尿內(nèi)腔鏡的發(fā)展1879年膀胱鏡(Cystoscope)問(wèn)世

一千多年前，中國(guó)人用蔥管作為導(dǎo)尿—----開(kāi)創(chuàng)腔內(nèi)泌尿的先例！

泌尿內(nèi)腔鏡的發(fā)展1879年膀胱鏡(Cystoscope)問(wèn)世這是什么？世界第一臺(tái)用蠟燭照明的膀胱鏡(1804年，PhlipBozzini)這是什么？世界第一臺(tái)用蠟燭照明的膀胱鏡泌尿內(nèi)腔鏡的發(fā)展1879年的膀胱鏡

特點(diǎn)：1.光源內(nèi)移2.使用直角棱鏡光學(xué)系統(tǒng)

泌尿內(nèi)腔鏡的發(fā)展1879年的膀胱鏡泌尿內(nèi)腔鏡的進(jìn)一步完善膀胱鏡插管裝置膀胱鏡可行輸尿管插管泌尿內(nèi)腔鏡的進(jìn)一步完善膀胱鏡插管裝置膀胱鏡可行輸尿管插管膀胱鏡的構(gòu)造主要有硬性鏡及可彎性（軟性）鏡光源觀察鏡操作部分膀胱鏡的構(gòu)造主要有硬性鏡及可彎性（軟性）鏡膀胱鏡的構(gòu)成鏡鞘：F16~F26，可與尿道鏡通用膀胱鏡的構(gòu)成鏡鞘：F16~F26，可與尿道鏡通用膀胱鏡的構(gòu)成閉孔器：填塞鏡鞘前端，避免損傷尿道膀胱鏡的構(gòu)成閉孔器：填塞鏡鞘前端，避免損傷尿道膀胱鏡的構(gòu)成觀察鏡：0~120°，多用30°和70°鏡膀胱鏡的構(gòu)成觀察鏡：0~120°，多用30°和70°鏡膀胱鏡的構(gòu)成操作器：與觀察鏡組成一體，既可觀察又可操作。操作通道可插放兩個(gè)輸尿管導(dǎo)管。膀胱鏡的構(gòu)成操作器：與觀察鏡組成一體，既可觀察又可操作。操作泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件膀胱尿道鏡附件異物鉗活檢鉗高頻電極輸尿管導(dǎo)管膀胱尿道鏡附件異物鉗膀胱鏡檢查的適應(yīng)癥常規(guī)檢查、B超及X線等仍不能明確診斷的膀胱、尿道及上尿路疾病了解泌尿系統(tǒng)外疾病對(duì)泌尿系統(tǒng)的影響血尿原因及出血部位的確定膀胱腫瘤部位、數(shù)目、大小及性質(zhì)確定膀胱異物、結(jié)石確診及取出膀胱鏡檢查的適應(yīng)癥常規(guī)檢查、B超及X線等仍不能明確診斷的膀胱膀胱鏡檢查的禁忌癥尿道狹窄膀胱容量過(guò)小一星期內(nèi)曾做過(guò)膀胱鏡者急性炎癥期間原則上不做全身出血性疾病膀胱鏡檢查的禁忌癥尿道狹窄膀胱鏡檢查前準(zhǔn)備明確檢查目的患者準(zhǔn)備器械準(zhǔn)備膀胱鏡檢查前準(zhǔn)備明確檢查目的泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件輸尿管插管（造影）指征1、因碘過(guò)敏而無(wú)法實(shí)行KUB+IVP2、因IVP顯影效果不佳而影響結(jié)石診斷3、懷疑結(jié)石遠(yuǎn)端有輸尿管梗阻輸尿管插管（造影）指征1、因碘過(guò)敏而無(wú)法實(shí)行KUB+IV泌尿外科膀胱鏡檢查ppt課件泌尿外科膀胱鏡檢查ppt課件膀胱鏡檢查合并癥及防治血尿–一般無(wú)須處理，多飲水發(fā)熱–應(yīng)及時(shí)給予抗生素治療腰痛–對(duì)癥處理尿道損傷–重在預(yù)防膀胱損傷–及時(shí)引流尿液膀胱鏡檢查合并癥及防治血尿–一般無(wú)須處理，多飲水wh3YJvg2XIuf1WHte0VHsd+UGrc-TFqc)SEpb(RDoa*QCn9&QBm8%PAl7$Ozk6!Nyk5#Mxj4ZLwi3ZKvh2YJug1XItf0WHte+VGsd-UFrc-TEqb)SDpa(RCo9*QCn8&PBm7%OAl6$Nzk6!Myj5#Lxi4ZLwh3YKvg2XJuf1WItf0VHse+UGrd-TFqc)TEpb(SDoa*RCo9&QBn8%PAm7$Ozl6$Nyk5!Mxj4#Lxi3ZKwh2YJvg1XIuf1WHte0VGsd+UFrc-TFqb)SEpa(RDoa*QCn9&PBm8%OAl7$Ozk6!Nyj5#Mxi4ZLwi3YKvh2XJug1XItf0WHse+VGrd-UFrc)TEqb(SDpa*RCo9*QBn8&PAm7%OAl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XJuf1WIte0VHsd+UGrd-TFqc)SEpb(RDoa*RCn9&QBm8%PAm7$Ozl6!Nyk5#Mxj4#Lwi3ZKvh2YJug1XIuf0WHte+VGsd+UFrc-TEqb)SDpa(RDo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Mxi4ZLwh3YKvg2XJug1WItf0VHse+VGrd-UFqc)TEpb(SDpa*RCo9&QBn8%PAm7%Ozl6$Nyk5!Myj4#Lxi3ZKwh2YJvg2XIuf1WHte0VGsd+UGrc-TFqb)SEpb(RDoa*QCn9&PBm8%PAl7$Ozk6!Nyk5#Mxj4ZLwi3YKvh2YJug1XItf0WHse+VGsd-UFrc)TEqb)SDpa(RCo9*QBn8&PBm7%OAl6$Nzk5!Myj5#Lxi4ZKwh3YKvg2XJuf1WIte0VHse+UGrd-TFqc)SEpb(SDoa*RCn9&QBn8%PAm7$Ozl6!Nyk5!Mxj4#Lwi3ZKwh2YJvg1XIuf0WHte0VGsd+UFrc-TEqb)SEpa(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-UFqc)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(SDoa*RCo9&QBn8%PAm7%Ozl6$Nyk5!Mxj4#Lxi3ZKwh2YJvg1XIuf1WHte0VGsd+UGrc-TFqb)SEpa(RDoa*QCn9&PBm8%PAl7$Ozk6!Nyj5#Mxj4ZLwi3YKvh2XJug1XItf0WHse+VGsd-UFrc)TEqb(SDpa(RCo9*QBn8&PAm7%OAl6$Nzk5!Myj5#Lxi4ZKwh3YJvg2XJuf1WIte0VHsd+UGrd-TFqc)SEpb(SDoa*RCn9&QBm8%PAm7$Ozl6!Nyk5!Mxj4#Lwi3ZKvh2YJvg1XIuf0WHte+VGsd+UFrc-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+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$Nzk6!Myj5#Lxi4ZLwh3YKvg2XJuf1WItf0VHse+UGrd-TFqc)TEpb(SDoa*RCo9&QBn8%PAm7$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+VGsd+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#Lxi4ZKwh3YKvg2XJuf1WIte0VHse+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+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#Mxj4ZLwi3ZKvh2YJug1XIuf0WHte+VGsd-UFrc-TEqb)SDpa(RCo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Lxi4ZHte0VGsd+UFrc-TFqb)SEpa(RDo9*QCn9&PBm8%OAl7$Ozk6!Nyj5#Mxi4ZLwi3YKvh2XJug1WItf0WHse+V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