泌尿外科膀胱镜检查课件

泌尿外科膀胱镜检查泌尿外科膀胱镜检查1泌尿内腔镜的发展1879年膀胱镜(Cystoscope)问世

一千多年前，中国人用葱管作为导尿—----开创腔内泌尿的先例！

泌尿内腔镜的发展1879年膀胱镜(Cystoscope)问世这是什么？世界第一台用蜡烛照明的膀胱镜(1804年，PhlipBozzini)这是什么？世界第一台用蜡烛照明的膀胱镜泌尿内腔镜的发展1879年的膀胱镜

特点：1.光源内移2.使用直角棱镜光学系统

泌尿内腔镜的发展1879年的膀胱镜泌尿内腔镜的进一步完善膀胱镜插管装置膀胱镜可行输尿管插管泌尿内腔镜的进一步完善膀胱镜插管装置膀胱镜可行输尿管插管膀胱镜的构造主要有硬性镜及可弯性（软性）镜光源观察镜操作部分膀胱镜的构造主要有硬性镜及可弯性（软性）镜膀胱镜的构成镜鞘：F16~F26，可与尿道镜通用膀胱镜的构成镜鞘：F16~F26，可与尿道镜通用膀胱镜的构成闭孔器：填塞镜鞘前端，避免损伤尿道膀胱镜的构成闭孔器：填塞镜鞘前端，避免损伤尿道膀胱镜的构成观察镜：0~120°，多用30°和70°镜膀胱镜的构成观察镜：0~120°，多用30°和70°镜膀胱镜的构成操作器：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导管。膀胱镜的构成操作器：与观察镜组成一体，既可观察又可操作。操作泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件膀胱尿道镜附件异物钳活检钳高频电极输尿管导管膀胱尿道镜附件异物钳膀胱镜检查的适应症常规检查、B超及X线等仍不能明确诊断的膀胱、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血尿原因及出血部位的确定膀胱肿瘤部位、数目、大小及性质确定膀胱异物、结石确诊及取出膀胱镜检查的适应症常规检查、B超及X线等仍不能明确诊断的膀胱膀胱镜检查的禁忌症尿道狭窄膀胱容量过小一星期内曾做过膀胱镜者急性炎症期间原则上不做全身出血性疾病膀胱镜检查的禁忌症尿道狭窄膀胱镜检查前准备明确检查目的患者准备器械准备膀胱镜检查前准备明确检查目的泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件输尿管插管（造影）指征1、因碘过敏而无法实行KUB+IVP2、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输尿管插管（造影）指征1、因碘过敏而无法实行KUB+IV泌尿外科膀胱镜检查ppt课件泌尿外科膀胱镜检查ppt课件膀胱镜检查合并症及防治血尿–一般无须处理，多饮水发热–应及时给予抗生素治疗腰痛–对症处理尿道损伤–重在预防膀胱损伤–及时引流尿液膀胱镜检查合并症及防治血尿–一般无须处理，多饮水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+VGrd-UFrc)TEqb(SDpa*RCo9*QBn8&PAm7%Ozl6$Nzk5!Myj4#Lxi4ZKwh3YJvg2XIuf1WIte0VHsd+UGrd-TFqc)SEpb(RDoa*RCn9&QBm8%PAl7$Ozl6!Nyk5#Mxj4#Lwi3ZKvh2YJug1XIuf0WHte+VGsd-UFrc-TEqb)SDpa(RDo9*QCn8&PBm7%OAl7$Nzk6!Myj5#Mxi4ZLwh3YKvg2XJug1WItf0VHse+UGrd-UFqc)TEpb(SDpa*RCo9&QBn8%PAm7%O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