文档介绍：XXX人民医院诊疗技术规范泌尿外科分册(参考资料:XXX)审校:XXX目录1、耻骨上膀胱穿刺造口术..........................................................................22、附睾结核附睾切除术..............................................................................33、肾结石开放手术..................................................................................................................34、输尿管切开取石术..................................................................................85、膀胱结石耻骨上膀胱切开取石术........................................................116、经皮肾镜碎石取石术............................................................................137、输尿管镜碎石取石术............................................................................168、经尿道前列腺切除术............................................................................189、根治性肾切除术....................................................................................1910、经尿道膀胱肿瘤电切术.......................................................................2011、膀胱部分切除术..................................................................................2112、肾脏损伤治疗术..................................................................................2213、膀胱损伤膀胱破裂修补术..................................................................2514、肾盂输尿管连接部梗阻肾盂成形术..................................................2515、肾上腺良性肿瘤切除术.......................................................................2616、精索和睾丸鞘膜积液治疗术..............................................................29一、耻骨上膀胱穿刺造口术【适应证】同“耻骨上膀胱造口术”。【禁忌证】同“耻骨上膀胱造口术”。【操作方法及程序】于耻骨联合上方2cm处用穿刺针做膀胱穿刺,抽出尿液后,于此部位做1cm的皮肤切口达腹白线。拔出穿刺针换套管针,依同一方向穿刺膀胱,拔出针芯,见有尿液流出,用相应管径的导尿管从套管插入膀胱,退出套管,将尿管气囊注水5?10cm或用丝线固定。【注意事项】膀胱穿刺造口术必须在膀胱充盈状态下进行,操作应按无菌要求进行,引流尿管粗细适当,并妥善固定防止滑脱。定期更换尿袋及引流管(尿袋1周换1次,引流管2周至3个月换1次),口服抗生素,有出血或感染者用无菌生理盐水冲洗。二、附睾结核附睾切除术【适应证】,附睾结核结节不消失。,但病变范围较大。,期望输精管与正常附睾吻合后再通。【禁忌证】。。【操作方法及程序】。。,切开睾丸鞘膜,暴露附睾。。,游离输精管并高位结扎。,完整切除附睾。