经尿道膀胱颈切开术

女性膀胱颈梗阻

女性膀胱颈梗阻的诊治体会孔令波＊孙立江△李延江（青岛大学医学院附属医院泌尿外科266003 青岛）摘要:目的探讨女性膀胱颈梗阻的诊断与治疗，提高女性膀胱颈梗阻的诊治水平。

方法对42例女性膀胱颈梗阻患者的诊断和腔内治疗情况进行回顾性分析。

结果42例行经尿道膀胱颈电切术，效果满意，无尿失禁及尿瘘发生。

结论临床症状结合膀胱尿道镜检查和压力-尿流率测定是该病可靠的诊断手段，经尿道膀胱颈电切术是治疗女性膀胱颈梗阻的首选方法。

关键词:女性膀胱颈梗阻诊断治疗中图分类号:R694. 2文献标识码:ADiagnosis and treatment of female bladder neck obstruction Kong Lingbo, Sun Lijiang, Li Yanjiang(Department of Urology, the affiliated hospital of medical college Qingdao University. Qingdao, 266003)【Abstract】Objective To explore the diagnosis and treatment of female bladder neck obstruction and evaluate the methods of diagnosis and treatment of female bladder neck obstruction.Methods Clinical data of 42 cases of female bladder neck obstruction were retrospectively analyzed. Results 42 cases were treated with transurethral resection of the posterior lip of bladder neck. No incontinence or fistula has been noted. Conclusions Clinical symptom, Cystourethroscopy and pressure-flow study are reliable diagnostic methods and transurethral resection of posterior lip of bladder neck is the best therapeutic option.【Key words】Female Bladder neck obstruction Diagnosis Treatment1998年1月～2005年12月我们采用经尿道膀胱颈电切治疗42例女性膀胱颈梗阻患者,效果满意,报告如下。

泌尿外科手术分级

,四、泌尿外科序号手术名称备注四级-1 肾上腺部分切除术四级-2 肾上腺切除术,双侧四级-3 肾上腺自体移植术四级-4 肾动脉球囊扩张术四级-5 肾癌根治术四级-6 肾部分切除术四级-7 手助式腹腔镜下肾切除术四级-8 移植肾切除术四级-9 肾自体移植术四级-10 肾异体移植术四级-11 肾修补术四级-12 经尿道输尿管病损钬激光切除术四级-13 输尿管-直肠吻合术四级-14 输尿管-回肠吻合术四级-15 输尿管-乙状结肠吻合术四级-16 输尿管阴道瘘修补术四级-17 输尿管成形术四级-18 经尿道膀胱肿瘤钬激光切除术四级-19 经尿道膀胱病损钬激光切除术四级-20 经尿道膀胱肿瘤电气化术四级-21 经尿道膀胱病损电气化术四级-22 经尿道膀胱肿瘤等离子电切术四级-23 膀胱全部切除术四级-24 膀胱阴道瘘修补术四级-25 膀胱尿道成形术四级-26 乙状结肠代膀胱四级-27 回肠代膀胱术四级-28 直肠代膀胱术四级-29 结肠代膀胱术(膀胱重建术)四级-30 经尿道尿道狭窄钬激光切除术四级-31 全尿道切除术四级-32 经尿道尿道病损切除术四级-33 尿道直肠瘘修补术经尿道四级-34 尿道阴道瘘修补术四级-35 经尿道前列腺电气化术四级-36 经尿道前列腺等离子切除术四级-37 经尿道前列腺等离子电汽化术四级-38 前列腺根治切除术四级-39 经尿道前列腺钬激光切除术四级-40 经尿道前列腺钬激光治疗术四级-41 精囊切除术四级-42 阴茎全部切除术四级-43 复杂的男性盆腔肿瘤切除术（普外科）四级-44 腹腔镜下肾上腺肿瘤切除术四级-45 经皮肾镜狄激光碎石取石术四级-46 腹腔镜下肾实质切开取石术四级-47 腹腔镜下肾盂输尿管成形术四级-48腹腔镜下肾脏切除术四级-49腹腔镜下肾癌根治术四级-50腹腔镜下腹膜后淋巴结清扫术三级-1肾上腺肿瘤切除术三级-2肾上腺病损切除术三级-3肾上腺囊肿切除术三级-4肾上腺切除术,单侧三级-5肾上腺探查术三级-6肾动脉栓塞术三级-7肾探查术三级-8肾切开取石术三级-9腹腔镜下肾囊肿去顶减压术三级-10经皮肾造口结石切除术三级-11肾孟切开取石术三级-12肾活检三级-13肾病损切除术三级-14肾肿瘤切除术三级-15肾切除术三级-16肾输尿管切除术三级-17肾固定术三级-18肾蒂扭转复位术三级-19肾盂--输尿管吻合术三级-20肾盂输尿管成形术三级-21肾盂成形术三级-22肾包膜切除术三级-23输尿管取石术,经输尿管镜三级-24输尿管弹道碎石术三级-25输尿管镜套石篮取石术三级-26输尿管镜钬激光碎石术三级-27输尿管切开引流术三级-28输尿管镜下钬激光切开术三级-29输尿管切除术三级-30输尿管部分切除术三级-31经尿道输尿管襄肿切开术三级-32输尿管造口术三级-33皮肤-输尿管造口术三级-34腹壁-输尿管吻合术三级-35输尿管-膀胱吻合术三级-36输尿管-输尿管吻合术三级-37输尿管瘘修补术三级-38膀胱肿瘤切除术,经尿道三级-39膀胱病损切除术,经尿道三级-40经尿道膀胱钬激光碎石术三级-41脐尿管切除三级-42膀胱悬吊术三级-43膀胱颈切开术,经尿道三级-44膀胱颈扩开术,耻骨上膀胱切开三级-45尿道造口术三级-46尿道会阴造瘘术三级-47尿道狭窄电切术,经尿道三级-48尿道瓣膜切除术三级-49尿道肿瘤切除术三级-50经尿道尿道病损电气化术三级-51尿道部分切除术三级-52尿道吻合术三级-53尿道上裂修补术三级-54尿道下裂成形术三级-55耻骨弓下尿道修补术三级-56尿道成形术三级-57Snodgrass尿道下裂成形术三级-58尿道后电切开术三级-59尿道切开术,经尿道三级-60尿道取石术三级-61尿失禁修补术三级-62泌尿系超声碎石术三级-63前列腺脓肿引流术三级-64前列腺切除术,经尿道三级-65经尿道前列腺(反馈式）微波治疗三级-66前列腺切除术,耻骨上经膀胱三级-67前列腺切除术,耻骨后膀胱前三级-68前列腺部分切除术三级-69前列腺切除术,经会阴三级-70前列腺切除术三级-71腹腔镜下精索静脉高位结扎术三级-72输精管吻合术三级-73阴茎病损切除术三级-74阴茎部分切除术三级-75阴茎肿瘤切除术三级-76阴茎缝合术三级-77阴茎成形术三级-78阴茎重建三级-79阴茎矫直术三级-80阴茎修补三级-81包皮背侧或外侧切开术三级-82男性盆腔病损切除术三级-83男性盆腔引流术三级-84B超定位下经皮肾盂穿刺造瘘术三级-85等离子经尿道尿道狭窄电切术三级-86腹腔镜下输尿管切开取石术三级-87输尿管镜下双J管植入术二级-1阴茎背静脉曲张结扎术（普外科）二级-2肾囊肿去顶减压术二级-3肾包膜切开血肿清除术二级-4肾脓肿切开引流术二级-5肾造瘘术二级-6肾活检,经皮肤针吸二级-7肾囊肿切除术二级-8肾包膜切开引流术二级-9肾造口术管置换术二级-10其它治疗性物质注入肾囊肿二级-11输尿管切开取石术二级-12输尿管探查术二级-13输尿管切开置管术二级-14输尿管镜检查二级-15输尿管囊肿切除术二级-16输尿管病损切除术二级-17输尿管纤维松解术二级-18膀胱镜碎石术二级-19结石液电碎石术二级-20膀胱切开取石术二级-21膀胱切开异物取出术二级-22膀胱探查术二级-23膀胱内口切开术二级-24膀胱切开置管术二级-25膀胱病损切除术二级-26膀胱病损切开电烧术二级-27膀胱颈V型切除术二级-28膀胱病损激光治疗二级-29膀胱肿瘤切除术二级-30经耻骨,膀胱镜下取石术二级-31膀胱部分切除术二级-32膀胱瘘管闭合术二级-33膀胱颈成形术二级-34膀胱修补术二级-35膀胱术后出血控制二级-36尿道切开术二级-37尿道外口切开术二级-38尿道部分切开术二级-39尿道病损切除术二级-40尿道狭窄切除术二级-41尿道口成形术二级-42尿道口紧缩术二级-43尿道会师术二级-44尿道修补术二级-45尿道内口切开术二级-46尿道旁腺囊肿切除术二级-47输尿管周围粘连松解术二级-48输尿管松解术二级-49肾周脓肿引流术二级-50尿道悬吊术二级-51输尿管扩张术,膀胱镜下二级-52插管肾脏引流二级-53膀胱镜下输尿管内支撑物插入术二级-54输尿管造瘘管更换术二级-55前列腺针剌活检二级-56前列腺活检二级-57前列腺术后止血术, 二级-58 阴囊橡皮病复原术二级-59 阴囊肿瘤切除术二级-60 阴囊切除术二级-61 阴囊修补术二级-62 阴囊输精管瘘切除术二级-63 鞘膜囊肿切除术二级-64 睾丸肿瘤切除术二级-65 莫尔加尼氏Morgagni 囊肿切除术,男性二级-66 睾丸附件切除术二级-67 睾丸病损切除术二级-68 根治性睾丸切除术双侧二级-69 根治性睾丸切除术，单侧二级-70 睾丸固定术二级-71 睾丸复位术二级-72 睾丸修补术二级-73 精索静高位结扎术二级-74 精索肿瘤切除术二级-75 附睾切除术二级-76 输精管病损切除术二级-77 阴茎病损激光切除术二级-78 阴茎海绵体一阴茎头分流术二级-79 肾动脉造影术二级-80 输尿管支架取出术二级-81 去除尿通支撑物二级-82 非切开从尿道取出管腔内异物一级-1 B 超引导下肾囊肿穿刺术一级-2 膀胱穿刺抽吸术一级-3 膀胱穿刺术一级-4 膀胱造口术一级-5 耻骨上膀胱造口术一级-6 膀胱镜检查一级-7 膀胱活检,经尿道一级-8 膀胱活检一级-9 尿道息肉电切术一级-10 尿道扩张术一级-11 膀胱造瘘管置换术一级-12 鞘膜部分切除术一级-13 鞘膜切除术一级-14 阴囊病损切除术一级-15 鞘膜翻转修补术一级-16 睾丸探查术一级-17 睾丸活检,经皮肤一级-18 睾丸活检一级-19 睾丸囊肿切除术一级-20 睾丸付睾切除术,单侧一级-21 睾丸切除术,单侧一级-22 睾丸切除术,双侧一级-23 附睾囊肿切除术一级-24 精索囊肿切除术一级-25附睾病损切除术一级-26精索病损切除术一级-27输精管结扎术一级-28包皮环切术一级-29包皮切除术。

卫生计生委内镜三、四级诊疗技术目录

四级呼吸内镜诊疗技术目录之邯郸勺丸创作一、经支气管镜热消融技术（包含电烧蚀、激光、氩等离子体凝固、微波等技术）二、经支气管镜冷冻切除术三、气管/支气管内支架植入术四、气管和支气管瘘封堵术五、支气管腔内近距离放射治疗技术六、经支气管镜光动力治疗技术七、支气管镜肺减容术八、经支气管镜热成形术九、硬质气管/支气管镜诊疗技术三级呼吸内镜诊疗技术参考目录一、经支气管针吸活检术二、超声支气管镜检查术三、支气管镜电磁导航活检术四、内科胸腔镜检查术五、气管/支气管内球囊扩张术四级消化内镜诊疗技术目录一、胃镜诊疗技术（一）胃镜下食管粘膜剥离术（二）胃镜下胃粘膜剥离术二、结肠镜诊疗技术结肠镜下结肠粘膜剥离术三、十二指肠镜诊疗技术（一）内镜逆行胰胆管造影术（二）内镜下乳头括约肌切开术（三）内镜下胆管括约肌切开术（四）内镜下胰管括约肌切开术（五）内镜下壶腹气囊成型术（六）内镜下胆管结石取石术（七）内镜下胰管结石取石术（八）内镜下胆管结石机械碎石术（九）内镜下胆管结石激光碎石术（十）内镜下胆管结石液电碎石术（十一）内镜下胆管扩张术（十二）内镜下胰管扩张术（十三）内镜下胆管支架植入术（十四）内镜下胰管支架植入术（十五）内镜下副乳头括约肌切开术（十六）内镜下副乳头支架植入术（十七）内镜下鼻胆管引流术（十八）内镜下胆管内超声检查术（十九）内镜下胰管内超声检查术（二十）内镜下胆管射频消融术（二十一）内镜下胰管射频消融术（二十二）内镜下十二指肠乳头腺瘤内镜切除术（二十三）内镜下鼻胰管引流术（二十四）胆管镜下光动力或氩气治疗术（二十五）胆管镜下电切治疗术四、超声内镜诊疗技术（一）超声内镜细针穿刺术（二）超声内镜下放射粒子植入术（三）超声内镜下肿瘤标识表记标帜术（四）超声内镜下放射免疫治疗术（五）超声内镜下肿瘤注射治疗术（六）超声内镜下射频消融术（七）超声内镜下血管栓塞术（八）超声内镜下假性囊肿引流术（九）超声内镜下胆管穿刺引流术（十）超声内镜下胰管穿刺引流术（十一）超声内镜下脓肿穿刺引流术（十二）超声内镜下光动力治疗术（十三）超声内镜辅助胰胆管造影术五、经口经隧道消化内镜诊疗技术（一）经口经隧道内镜下贲门括约肌切断术（二）经口经隧道内镜下间质瘤摘除术六、胆道镜诊疗技术（一）经皮胆道镜参照四级普通外科内镜手术目录（二）经口胆道镜下胆管结石激光碎石术（三）经口胆道镜下胆管结石液电碎石术（四）经口胆道镜下胆管活检术七、胰管镜诊疗技术（一）经口胰管镜检查和治疗术（二）经口胰管镜下活检术八、经自然腔道内镜诊疗技术（一）经胃腹腔探查术（二）经胃腹膜活检术（三）经胃腹腔淋凑趣活检术（四）经胃肝囊肿开窗术（五）经阴道胆囊切除术九、腹腔镜诊疗技术参照四级普通外科内镜手术目录十、小肠镜诊疗技术小肠镜下治疗术附件2三级消化内镜诊疗技术参考目录一、胃镜诊疗技术（一）胃镜下食管粘膜切除术（二）胃镜下胃粘膜切除术（三）胃镜下食管狭窄扩张术（四）胃镜下食管支架置入术（五）胃镜下食管静脉曲张硬化剂套扎治疗术（六）胃镜下胃底静脉曲张组织胶注射治疗术（七）胃镜下食管射频消融术（八）胃镜下光动力治疗术（九）胃镜下经皮胃、空肠造瘘术（十）胃镜下异物取出术（十一）胃镜下止血治疗术二、结肠镜诊疗技术（一）结肠镜下结肠粘膜切除术（二）结肠镜下结肠支架治疗术（三）结肠镜下异物取出术（四）结肠镜下止血治疗术三、十二指肠镜诊疗技术（一）内镜下十二指肠息肉切除术（二）内镜下十二指肠支架置入术（三）十二指肠镜下止血治疗术四、超声内镜诊疗技术环扫及扇扫超声内镜检查术五、小肠镜诊疗技术小肠镜检查术四级普通外科内镜诊疗技术目录一、腹腔镜诊疗技术（一）疝诊疗技术：（二）肝脏诊疗技术：（三）胆道诊疗技术：3.腹腔镜下单纯胆肠吻合术（如胆囊空肠吻合、胆管空肠吻合等)（四）胰腺诊疗技术：1.腹腔镜下胰管切开取石联合胰管胃、肠吻合术10.腹腔镜下胰腺联合脏器切除术（肾、胃等）（五）脾脏诊疗技术：（六）胃肠诊疗技术：二、十二指肠镜诊疗技术参照消化内镜四级手术目录三、甲状腺腔镜诊疗技术四、乳腺腔镜诊疗技术1.乳腺腔镜下乳腺癌（改良）根治术五、胆道镜诊疗技术1.腹腔镜-胆道镜联合探查取石术2.胆道镜下肝内胆管结石取出术3.胆道镜下胆管下端嵌顿结石取出术六、经肛内镜诊疗技术七、其他腹腔镜下腹膜后肿瘤切除术附件2三级普通外科内镜诊疗技术参考目录一、腹腔镜诊疗技术（一）疝诊疗技术1.腹腔镜下经腹膜前腹股沟疝修补术（TAPP）2.腹腔镜下完全腹膜外腹股沟疝修补术（TEP）（二）肝脏诊疗技术（三）胆道诊疗技术（四）胰腺诊疗技术（五）脾脏诊疗技术腹腔镜下脾囊肿开窗引流术（六）胃肠诊疗技术二、甲状腺腔镜诊疗技术甲状腺腔镜下甲状腺部分切除术三、胆道镜诊疗技术腹腔镜下胆总管T管引流术四、其他四级关节镜诊疗技术目录一、关节镜下膝关节交叉韧带损伤修复、重建术二、关节镜下半月板缝合修复术三、关节镜下软骨移植修复术四、关节镜下膝关节交叉韧带翻修术五、关节镜下半月板重建术六、关节镜下肩关节不稳修复、重建术七、关节镜下肩袖损伤修复、重建术八、关节镜下髋关节手术九、关节镜下肘关节手术十、关节镜下腕关节手术十一、肩关节镜下肱二头肌肌腱损伤修复术十二、肩关节镜下盂唇撕裂伤修复术十三、肩关节镜下肩胛下肌腱修复术锁骨远端切除术十四、踝关节镜下关节融合术十五、踝关节镜下踝关节韧带重建术十六、踝关节镜下骨软骨移植术十七、膝关节镜下髌股关节不稳重建术附件2三级关节镜诊疗技术参考目录一、肩关节镜下游离体摘除术二、肩关节镜下滑膜切除术三、肩关节镜下肩袖钙化性肌腱炎清理术四、肩关节镜下关节囊松解术五、肩关节镜下骨关节炎清理术六、肩关节镜下关节感染清理术七、膝关节镜下游离体摘除术八、膝关节镜下髌股关节紊乱松解术九、膝关节镜下滑膜切除术十、膝关节镜下关节感染清理术十一、膝关节镜下辅助治疗关节内骨折技术十二、膝关节镜下骨关节炎清理术十三、膝关节镜下关节僵硬松解术十四、踝关节镜下滑膜切除术十五、踝关节镜下游离体摘除术十六、踝关节镜下剥脱性软骨炎软骨修整术十七、踝关节镜下关节感染清理术四级脊柱内镜诊疗技术目录一、经皮内镜下经椎间孔入路游离型腰椎间盘脱出摘除术二、经皮内镜下经椎间孔入路极外侧型腰椎间盘突出摘除术三、经皮内镜下经椎间孔入路腰椎间孔狭窄扩大成形术四、经皮内镜下经椎板间隙入路椎管狭窄扩大成形术五、经皮内镜下经椎间孔入路椎间盘切除、椎间植骨融合术六、显微内镜下腰椎管狭窄经单侧入路双侧潜行扩大减压术七、显微内镜下经横突间入路极外侧型腰椎间盘突出髓核摘除术八、显微内镜下经横突间入路腰椎间孔狭窄扩大成形术九、显微内镜下经关节突入路腰椎间盘切除、椎间植骨融合、经皮内固定术十、显微内镜下颈椎前路松解术十一、显微内镜下颈椎前路椎间盘切除、植骨融合、经皮内固定术十二、显微内镜下颈椎后路经椎间孔椎间盘摘除术十三、经皮内镜下经颈椎前路椎间盘减压术十四、经皮内镜下经颈椎前路椎间孔狭窄扩大成形术十五、经皮内镜下经颈椎后路椎间孔狭窄扩大成形术十六、胸腔镜辅助下胸椎前路减压、植骨融合与内固定术十七、腹腔镜辅助下腰椎前路减压、植骨融合与内固定术十八、腹腔镜辅助下腰椎前路椎间盘置换术十九、经皮内镜下椎间隙感染病灶清除融合术二十、胸腔镜辅助下脊柱侧弯矫形术二十一、显微内镜下脊柱翻修术二十二、经皮内镜下脊柱翻修术附件2三级脊柱内镜诊疗技术参考目录一、经皮内镜下椎间孔镜下经椎间孔入路腰椎间盘突出髓核摘除术二、经皮内镜下椎间孔镜下经椎间孔入路椎间盘源性腰痛髓核减压术三、经皮内镜下椎间孔镜下经椎板间隙入路腰椎间盘突出髓核摘除术四、经皮内镜下椎间孔镜下经侧后路脊神经内侧枝射频消融术五、经皮内镜下椎间隙感染病灶清除引流术六、显微内镜下椎间盘镜下经椎板间隙入路腰椎间盘突出髓核摘除术七、显微内镜下椎间盘镜下经椎板间隙入路侧隐窝狭窄扩大成形术八、显微内镜下脊柱病灶清除术四级泌尿外科内镜诊疗技术目录一、经尿道内镜诊疗技术（一）经尿道巨大前列腺切除术（＞60g）（二）输尿管镜输尿管肿瘤切除术（三）软性输尿管镜肾结石激光碎石术（四）肾盂输尿管连接部狭窄内切开术（五）软性输尿管镜碎石取石术二、经皮肾镜诊疗技术（一）孤立肾经皮肾镜术（二）肾铸型结石及多发性肾结石经皮肾镜术三、腹腔镜诊疗技术（一）腹腔镜肾上腺肿瘤（≥5cm）切除术（二）腹腔镜肾上腺全切或次全切除术（三）腹腔镜肾上腺嗜铬细胞瘤切除术（四）腹腔镜供肾取肾术（五）腹腔镜肾切除术（六）腹腔镜肾实质切开取石术（七）腹腔镜马蹄肾峡部分离术（八）腹腔镜根治性肾切除术（九）腹腔镜根治性肾输尿管切除术（十）腹腔镜肾部分切除术（十一）腹腔镜重复肾重复输尿管切除术（十二）腹腔镜肾盂成形术（十三）腹腔镜肾蒂淋巴管结扎剥脱术（十四）腹腔镜腹膜后淋凑趣清扫术（十五）腹腔镜肾盂切开取石术（十六）腹腔镜肾固定术（十七）腹腔镜输尿管部分切除术后再吻合术（十八）腹腔镜腹膜后肿物切除术（十九）腹腔镜输尿管切开取石术（二十）腹腔镜输尿管-膀胱吻合术（二十一）腹腔镜腔静脉后输尿管整形术（二十二）腹腔镜隐睾下降睾丸固定术（二十三）腹腔镜膀胱部分切除术（含腹腔镜膀胱憩室切除术）（二十四）腹腔镜根治性膀胱切除术（二十五）腹腔镜根治性前列腺切除术（二十六）腹腔镜盆腔淋凑趣清扫术（二十七）腹腔镜脐尿管切除术（二十八）腹腔镜精囊切除术（二十九）腹腔镜下腹股沟淋凑趣清扫术（三十）单孔腹腔镜手术（三十一）机器人辅助腹腔镜手术附件2三级泌尿外科内镜诊疗技术参考目录一、经尿道内镜诊疗技术（一）经尿道前列腺切除术（≤60g）(含电切除、气化、激光剜除)（二）经尿道前列腺支架置入术（三）经尿道膀胱肿瘤切除术(含电切、激光)（四）经尿道膀胱病变黏膜切除术(含腺性膀胱炎，黏膜白斑病变黏膜切除术)（五）经尿道输尿管膨出切开术（六）经尿道尿道狭窄内切开术（七）经尿道膀胱颈口切开术（八）输尿管镜输尿管狭窄内切开术（九）输尿管镜（软、硬镜）检查术（十）输尿管硬镜碎石取石术（十一）输尿管镜输尿管扩张术（十二）精囊镜检查技术二、经皮肾镜诊疗技术经皮肾镜取石术(单发性肾盂结石、输尿管上段结石，异物取出)三、腹腔镜诊疗技术（一）腹腔镜精索静脉高位结扎术（二）腹腔镜肾囊肿去顶减压术（三）腹腔镜肾上腺肿瘤切除术（<5cm）（四）腹腔镜隐睾切除术注：四级以外的腹腔镜手术和经皮肾镜手术均为三级手术。

女性膀胱出口梗阻

胱的治疗。其认为上述开放手术均是从增加膀胱动力的角度实施的，而动力阻力对抗平衡观点认为，动力不足、阻力正
常者可导致相对性梗阻，解除梗阻的策略包括增加动力和削弱阻力，削弱阻力同样可以达到解除梗阻的目的。经尿道膀胱颈切开术可削弱膀胱颈部的阻力从而达到解除梗阻的目
镜检查是尿动力学评估的重要手段，明确尿道有无狭窄、可
梗阻，通过观察膀胱内壁的变化确定有无小梁、室及假性小憩室等间接判断有无膀胱出口梗阻，鉴别膀胱颈口硬化症与
径路。有报道二者的１年治愈率无显著差异，ＴＴ手术但Ｏ时间短于ＴＴ手术并发症发生率低于ＴＴＶ，Ｖ。一项包括１１
・
告读者・
《山东医药》三编辑室２１（５第０２年第２卷）编辑计划
ｌ６０
开放手术，创伤较大。金讯波教授创造性提出“ 动力阻力对抗平衡 ” 的观点并将经尿道膀胱颈切开术用于神经源性膀
组切点：梗阻较轻者选择６１、２两个切点，梗阻较重者选择６、
２１、０三个切点，上尿路积水、膀胱嵴梁化严重者可选择３６、、
女性膀胱出口梗阻（ＢＯ）ＦＯ是发生于膀胱颈部至尿道外口的任何部分尿道管腔狭窄所引起的排尿功能障碍件疾
病，由不同原因、同发病机制所引起的膀胱出口梗阻综是不
合征；在足够力量、度、速时间的逼尿肌收缩下只产生一个弱的尿流。ＦＯＢＯ可发生于任何年龄，年龄越大、发病率越高。

手术讲解模板：经尿道膀胱肿瘤切除术

手术禁忌： 5.脊柱畸形不能平卧者。
手术资料：经尿道膀胱肿瘤切除术
手术禁忌： 6.尿道狭窄未治者。
手术资料：经尿道膀胱肿瘤切除术
术前准备：
良性前列腺增生病人多为高龄，通常有冠状动脉、瓣膜及高血压心脏病，以及脑血管病，慢性肺部疾病、肾功不全、糖尿病。术前务必对这些疾病作细微了解和妥善治疗。应无明显血液病，凝血功能基本正常。
手术资料：经尿道膀胱肿瘤切除术
适应证：深度。取组织活检确定级别。这些对决定是否作腔内切除十分重要。晚期癌电切可缓解症状（图7.11.3.1-1～7.11.3.1-4）。
手术资料：经尿道膀胱肿瘤切除术
适应证：
手术资料：经尿道膀胱肿瘤切除术
适应证：
手术资料：经尿道膀胱肿瘤切除术
适应证：
手术资料：经尿道膀胱肿瘤切除术
术后护理： 2、勿剧烈运动，避免温水坐浴。
手术资料：经尿道膀胱肿瘤切除术
术后护理： 3、手术一个月后，才可恢复性生活。
手术资料：经尿道膀胱肿瘤切除术
术后护理： 4、应到门诊做定期的旁观镜检查。
手术资料：经尿道膀胱肿瘤切除术
术后护理： 5、发生大量血尿、发冷、发热, 应立即至急诊求治。
谢谢！
手术步骤：
位于顶部的肿瘤可能电切圈较难达到，遇此情况，膀胱充盈不可过大，助手用手压迫耻骨上，使肿瘤进入手术视野（图 7.11.3.1-5）。
手术资料：经尿道膀胱肿瘤切除术
手术步骤：
侧壁肿瘤的电切类似前列腺电切，可向前推切，也可拉切，电切圈活动应和膀胱正面相一致。侧壁肿瘤切除时，易诱发闭孔神经反射，引起大腿痉挛跳动，此时应停止电切，在肿瘤基底粘膜下注射含有0.25%利多卡因枯瘤液（或枯痔液）2～10ml，1min后再行电切除。后

TUIBN和TURBN治疗膀胱颈挛缩的比较研究

TUIBN和TURBN治疗膀胱颈挛缩的比较研究方永刚;高慎元;马新建;叶坤;赵毅;张安山【摘要】目的:探讨环状电极经尿道膀胱颈电切术(TURBN)和针状电极经尿道膀胱颈内切开术(TUIBN)治疗膀胱颈挛缩的疗效.方法:52例膀胱颈挛缩患者根据手术方式的不同分为实验组和对照组,每组26例患者,实验组采用TUIBN术式治疗、对照组采用TURBN术式治疗.比较两组患者的手术时间、术后残余尿量、术后最大尿流率,术后随访观察远期疗效.结果:实验组患者手术时间、残余尿量明显低于对照组,最大尿流率明显高于对照组(P<0.05);并且,实验组患者远期排尿情况明显优于对照组.结论:与TURBN比较,TUIBN治疗膀胱颈挛缩具有手术时间短、术后残余尿量少、容易操作、远期效果好等优点.【期刊名称】《承德医学院学报》【年(卷),期】2017(034)001【总页数】3页(P26-28)【关键词】膀胱颈挛缩;环状电极经尿道膀胱颈电切术(TURBN);针状电极行经尿道膀胱颈内切开术(TUIBN)【作者】方永刚;高慎元;马新建;叶坤;赵毅;张安山【作者单位】宿迁市中医院泌尿外科,江苏宿迁 223800;宿迁市中医院泌尿外科,江苏宿迁 223800;宿迁市中医院泌尿外科,江苏宿迁 223800;宿迁市中医院泌尿外科,江苏宿迁 223800;宿迁市中医院泌尿外科,江苏宿迁 223800;宿迁市中医院泌尿外科,江苏宿迁 223800【正文语种】中文【中图分类】R691.2膀胱颈挛缩为下尿路梗阻的原因之一，男女均可发病，以老年女性多见，年龄越大发病率越高。

膀胱颈挛缩的原因包括先天性和后天性两大类，后天性主要由炎症、手术、膀胱颈部平滑肌增厚等导致[1]。

也有学者认为，中老年女性可能因为激素平衡失调而至尿道周围腺体增生，产生梗阻症状[2]；男性慢性前列腺炎及经尿道前列腺电切（TURP）术后也可出现该病。

膀胱颈挛缩的临床表现包括排尿困难、尿潴留，可通过尿道镜检查、排泄性膀胱尿道造影、膀胱测压及尿流动力学等方法明确诊断。

泌尿外科手术分级

四、泌尿外科序号手术名称备注四级-1 肾上腺部分切除术四级-2 肾上腺切除术,双侧四级-3 肾上腺自体移植术四级-4 肾动脉球囊扩张术四级-5 肾癌根治术四级-6 肾部分切除术四级-7 手助式腹腔镜下肾切除术四级-8 移植肾切除术四级-9 肾自体移植术四级-10肾异体移植术四级-11肾修补术四级-12 经尿道输尿管病损钬激光切除术四级-13 输尿管-直肠吻合术四级-14 输尿管-回肠吻合术四级-15 输尿管-乙状结肠吻合术四级-16 输尿管阴道瘘修补术四级-17 输尿管成形术四级-18 经尿道膀胱肿瘤钬激光切除术四级-19 经尿道膀胱病损钬激光切除术四级-20 经尿道膀胱肿瘤电气化术四级-21 经尿道膀胱病损电气化术四级-22 经尿道膀胱肿瘤等离子电切术四级-23 膀胱全部切除术四级-24 膀胱阴道瘘修补术四级-25 膀胱尿道成形术四级-26 乙状结肠代膀胱四级-27 回肠代膀胱术四级-28 直肠代膀胱术四级-29 结肠代膀胱术(膀胱重建术)四级-30 经尿道尿道狭窄钬激光切除术四级-31 全尿道切除术四级-32 经尿道尿道病损切除术四级-33 尿道直肠瘘修补术,经尿道四级-34 尿道阴道瘘修补术四级-35 经尿道前列腺电气化术四级-36 经尿道前列腺等离子切除术四级-37 经尿道前列腺等离子电汽化术四级-38 前列腺根治切除术四级-39 经尿道前列腺钬激光切除术四级-40 经尿道前列腺钬激光治疗术四级-41 精囊切除术四级-42 阴茎全部切除术四级-43 复杂的男性盆腔肿瘤切除术（普外科）四级-44 腹腔镜下肾上腺肿瘤切除术四级-45 经皮肾镜狄激光碎石取石术四级-46 腹腔镜下肾实质切开取石术四级-47 腹腔镜下肾盂输尿管成形术四级-48 腹腔镜下肾脏切除术四级-49 腹腔镜下肾癌根治术四级-50 腹腔镜下腹膜后淋巴结清扫术三级-1 肾上腺肿瘤切除术三级-2 肾上腺病损切除术三级-3 肾上腺囊肿切除术三级-4 肾上腺切除术,单侧三级-5 肾上腺探查术三级-6 肾动脉栓塞术三级-7 肾探查术三级-8 肾切开取石术三级-9 腹腔镜下肾囊肿去顶减压术三级-10 经皮肾造口结石切除术三级-11 肾孟切开取石术三级-12 肾活检三级-13 肾病损切除术三级-14 肾肿瘤切除术三级-15 肾切除术三级-16 肾输尿管切除术三级-17 肾固定术三级-18 肾蒂扭转复位术三级-19 肾盂--输尿管吻合术三级-20 肾盂输尿管成形术三级-21 肾盂成形术三级-22 肾包膜切除术三级-23 输尿管取石术,经输尿管镜三级-24 输尿管弹道碎石术三级-25 输尿管镜套石篮取石术三级-26 输尿管镜钬激光碎石术三级-27 输尿管切开引流术三级-28 输尿管镜下钬激光切开术三级-29 输尿管切除术三级-30 输尿管部分切除术三级-31 经尿道输尿管襄肿切开术三级-32 输尿管造口术三级-33 皮肤-输尿管造口术三级-34 腹壁-输尿管吻合术三级-35 输尿管-膀胱吻合术三级-36 输尿管-输尿管吻合术三级-37 输尿管瘘修补术三级-38 膀胱肿瘤切除术,经尿道三级-39 膀胱病损切除术,经尿道三级-40 经尿道膀胱钬激光碎石术三级-41 脐尿管切除三级-42 膀胱悬吊术三级-43 膀胱颈切开术,经尿道三级-44 膀胱颈扩开术,耻骨上膀胱切开三级-45 尿道造口术三级-46 尿道会阴造瘘术三级-47 尿道狭窄电切术,经尿道三级-48 尿道瓣膜切除术三级-49 尿道肿瘤切除术三级-50 经尿道尿道病损电气化术三级-51 尿道部分切除术三级-52 尿道吻合术三级-53 尿道上裂修补术三级-54 尿道下裂成形术三级-55 耻骨弓下尿道修补术三级-56 尿道成形术三级-57 Snodgrass尿道下裂成形术三级-58 尿道后电切开术三级-59 尿道切开术,经尿道三级-60 尿道取石术三级-61 尿失禁修补术三级-62 泌尿系超声碎石术三级-63 前列腺脓肿引流术三级-64 前列腺切除术,经尿道三级-65 经尿道前列腺(反馈式）微波治疗三级-66 前列腺切除术,耻骨上经膀胱三级-67 前列腺切除术,耻骨后膀胱前三级-68 前列腺部分切除术三级-69 前列腺切除术,经会阴三级-70 前列腺切除术三级-71 腹腔镜下精索静脉高位结扎术三级-72 输精管吻合术三级-73 阴茎病损切除术三级-74 阴茎部分切除术三级-75 阴茎肿瘤切除术三级-76 阴茎缝合术三级-77 阴茎成形术三级-78 阴茎重建三级-79 阴茎矫直术三级-80 阴茎修补三级-81 包皮背侧或外侧切开术三级-82 男性盆腔病损切除术三级-83 男性盆腔引流术三级-84 B超定位下经皮肾盂穿刺造瘘术三级-85 等离子经尿道尿道狭窄电切术三级-86 腹腔镜下输尿管切开取石术三级-87 输尿管镜下双J管植入术二级-1 阴茎背静脉曲张结扎术（普外科）二级-2 肾囊肿去顶减压术二级-3 肾包膜切开血肿清除术二级-4 肾脓肿切开引流术二级-5 肾造瘘术二级-6 肾活检,经皮肤针吸二级-7 肾囊肿切除术二级-8 肾包膜切开引流术二级-10 其它治疗性物质注入肾囊肿二级-11 输尿管切开取石术二级-12 输尿管探查术二级-13 输尿管切开置管术二级-14 输尿管镜检查二级-15 输尿管囊肿切除术二级-16 输尿管病损切除术二级-17 输尿管纤维松解术二级-18 膀胱镜碎石术二级-19 结石液电碎石术二级-20 膀胱切开取石术二级-21 膀胱切开异物取出术二级-22 膀胱探查术二级-23 膀胱内口切开术二级-24 膀胱切开置管术二级-25 膀胱病损切除术二级-26 膀胱病损切开电烧术二级-27 膀胱颈V型切除术二级-28 膀胱病损激光治疗二级-29 膀胱肿瘤切除术二级-30 经耻骨,膀胱镜下取石术二级-31 膀胱部分切除术二级-32 膀胱瘘管闭合术二级-33 膀胱颈成形术二级-34 膀胱修补术二级-35 膀胱术后出血控制二级-36 尿道切开术二级-37 尿道外口切开术二级-38 尿道部分切开术二级-39 尿道病损切除术二级-40 尿道狭窄切除术二级-41 尿道口成形术二级-42 尿道口紧缩术二级-43 尿道会师术二级-44 尿道修补术二级-45 尿道内口切开术二级-46 尿道旁腺囊肿切除术二级-47 输尿管周围粘连松解术二级-48 输尿管松解术二级-49 肾周脓肿引流术二级-50 尿道悬吊术二级-51 输尿管扩张术,膀胱镜下二级-52 插管肾脏引流二级-53 膀胱镜下输尿管内支撑物插入术二级-54 输尿管造瘘管更换术二级-55 前列腺针剌活检二级-56 前列腺活检二级-57 前列腺术后止血术二级-59 阴囊肿瘤切除术二级-60 阴囊切除术二级-61 阴囊修补术二级-62 阴囊输精管瘘切除术二级-63 鞘膜囊肿切除术二级-64 睾丸肿瘤切除术二级-65 莫尔加尼氏Morgagni囊肿切除术,男性二级-66 睾丸附件切除术二级-67 睾丸病损切除术二级-68 根治性睾丸切除术,双侧二级-69 根治性睾丸切除术，单侧二级-70 睾丸固定术二级-71 睾丸复位术二级-72 睾丸修补术二级-73 精索静高位结扎术二级-74 精索肿瘤切除术二级-75 附睾切除术二级-76 输精管病损切除术二级-77 阴茎病损激光切除术二级-78 阴茎海绵体一阴茎头分流术二级-79 肾动脉造影术二级-80 输尿管支架取出术二级-81 去除尿通支撑物二级-82 非切开从尿道取出管腔内异物一级-1 B超引导下肾囊肿穿刺术一级-2 膀胱穿刺抽吸术一级-3 膀胱穿刺术一级-4 膀胱造口术一级-5 耻骨上膀胱造口术一级-6 膀胱镜检查一级-7 膀胱活检,经尿道一级-8 膀胱活检一级-9 尿道息肉电切术一级-10 尿道扩张术一级-11 膀胱造瘘管置换术一级-12 鞘膜部分切除术一级-13 鞘膜切除术一级-14 阴囊病损切除术一级-15 鞘膜翻转修补术一级-16 睾丸探查术一级-17 睾丸活检,经皮肤一级-18 睾丸活检一级-19 睾丸囊肿切除术一级-20 睾丸付睾切除术,单侧一级-21 睾丸切除术,单侧一级-22 睾丸切除术,双侧一级-23 附睾囊肿切除术一级-24 精索囊肿切除术一级-25 附睾病损切除术一级-26 精索病损切除术一级-27 输精管结扎术一级-28 包皮环切术一级-29 包皮切除术。

经尿道前列腺切除加膀胱颈内切开术对性功能的影响

ｊ丛匿鲨星丛壁垦查！业！呈！旦星！！鲞釜！塑经尿道前列腺切除加膀胱颈内切开术对性功能的影响刘健１潘柏年２・２８９・［摘要］目的：探讨经尿道前列腺切除加膀胱颈内臼Ｊ开术（ＴＵＲＰ＋ＴＵＩＢＮ）对性功能的影响。

方法：对术前有正常肚生活、年龄存７５岁以下的２３例前列腺增生患者行ＴＵＲＰ＋７ｒＵＩＢＮ治疗（联川皇Ｈ），随游丁解术后６个月以后的性功能情况。

．』『＿与２８例同期单纯行ＴＵＲＰ、切除前列腺重量小于２０ｇ的患者（ＴｕＲＰ组）进行比较。

结果：联＿｝｝ｊ组与ＴＵＲＩ’组逆行射精（ＲＪ）发生率分别为６０．９％和５７．１％；勃起功能障碍（ＥＤ）发生率分别为８．７％和１０．７蹦。

结论：ＴＵＲＰ＋ＴＵＩＢＮ不增加逆行射精及勃起功能障碍的发阜率；与ＴＵＲＰ比较，ＴｕＲＰ＋ＴＵＩＢＮ对性功能无明显影响。

［关键词］外科于术，男眭泌尿牛殖系；逆行射精；勃起功能障碍［中图分类号］Ｒ６９９．８［文献标识码］Ａ［文章编号］／００卜ｔ４２０（２００６）０４０２８９０２ＥｆｆｅｃｔｓｏｆｓｅｘｕａｌｆｕｎｃｔｉｏｎｏｆＴＵＲＰａｎｄＴＵＩＢＮｆ，ＪＵ，ｉａｎｌＰＡＮＢ０７ｌｉａｎ２（１ＤｅｐａｒｔｍｅｎｔｏｆＵｒｏｌｏｇｙ．ＨｅＰｉｎｇＬｉＨｏｓｐｉｔａｌ，Ｂｅｉｊｉｎｇ，１０００１３，Ｃｈｉｎａ；２ＵｒｏｌｏｇｉｃＳｕｒｇｅｒｙＤｅｐｔｏｆＮｏ１ＨｏｓｐｉｔａｌｏｆＰｅｋｉｎｇＵｎｉｖｅｒｓｉｌｙ）Ａｂｓｔｒａｃｔ０ｂｊｅｃｔｉｖｅ：Ｄｉｓｃｕｓｓｅｆｆｅｃｔｓｏｆｓｅｘｕａｌｆｕｎｃｔｉｏｎｏｆｔｒａｎｓｕｒｅｔｈｒａｌｐｒｏｓｔａｔｅｃｔｏｍｙ（ＴＵＲＰ）ａｎｄｔｒａｎｓｕｒｅｔｈｒａ［ｉｎｃｉｓｉｏｎｏｆｔｈｅｂｌａｄｄｅｒｎｅｃｋ（ＴＵＩＢＮ）．Ｍｅｔｈｏｄｓ：Ａｎａｖａｉｌａｂｌｅｏｒａｌｓｕｒｖｅｙｉｎｖｏｌｖｉｎｇ２３ｎｑｅｎｕｎｄｅｒ７５ｈａｄｎｏｒ—ｒｅａｌｓｅｘｕａｌｆｕｎｃｔｉｏｎｂｅｆｏｒｅＴＵＲＰ｜＿ＴＩＪｌＢＮａｎｄ２８ｎ］ｅｎｕｎｄｅｒ７５ｈａｄｎｏｒｍａｌｓｅｘｕａｌｆｕｎｃｔｉｏｎｂｅｆｏｒｅｓｉｍｐｌｅＴＵＲＰａｔｔｈｅｓａｍｅｔｉｍｅｏｎｔｈｅｉｒｓｅｘｕａｌｆｕｎｃｔｉｏｎａｆｔｅｒ６ｍｏｎｔｈｏｆｓｕｒｇｅｒｉｅｓ．Ｒｅｓｕｌｔｓ：Ｔｂｅｒａｔｅｏｆｒｅｔｒｏｇｒａｄｅｅｊａｃｕｌａｔｉｏｎ（ＰＪ）ｉｎＴＵＲＰ＋７ｒＵＩＢＮｇｒｏｕｐａｎｄＴＵＲＰｇｒｏｕｐｒｅａｃｂｅｄｔｏ６０．９％ａｎｄ５７．Ｉ％ｒｅｓｐｅｃｔｉｖｅｌｙ．ａｎｄｒａｔｅｏｆｅｒｅｃｔｉｏｎｄｙｓｆｕｎｃｔｉｏｎ（ＥＤ）ｒｅａｃｈｅｄｔｏ８．７％ａｎｄ１０．７“ｒｅｓｐｅｃｔｉｖｅｌｙ．Ｃｏｎｃｌｕｓｉｏｎｓ：Ｔｈｅｒｅａｒｅｎｏｏｂｖｉｏｕｓｌｙｄｉｆｆｅｒｅｎｔｅｆｆｅｃｔｓｂｅ—ｔｗｅｅｎｐａｔｉｅｎｔｓｏｆＴＵＲＰ＋ＴＵＩＢＮａｎｄ’Ｉ＇ＵＲＰ．ｂｕｔｆｏｒｓｕｒｇｉｃａｌｔｒｅａｔｍｅｎｔｏｆｅｎｌａｒｇｅｄｐｒｏｓｔａｔｅｓ．ｔｈｅｒｅｓｕｌｔｉｓｍｕｃｈｂｅｔｔｅｒｔｈａｎＴＵＲＰ．ＫｅｙｗｏｒｄｓＳｕｒｇｉｃａｌｕｒｉｎａｒｙｓｙｓｔｅｍｌＲｅｔｒｏｇｒａｄｅｅｊａｃｕｌａｔｉｏｎ；Ｅｒｅｃｔｉｌｅｄｙｓｆｕｎｃｔｉｏｎ小前列腺增生引起的膀胱出口梗阻，同膀胱颈环状纤维张力升高有关。

泌尿外科手术分级

四、泌尿外科序号手术名称备注四级-1 肾上腺部分切除术四级-2 肾上腺切除术,双侧四级—3 肾上腺自体移植术四级—4 肾动脉球囊扩张术四级-5 肾癌根治术四级—6 肾部分切除术四级-7 手助式腹腔镜下肾切除术四级—8 移植肾切除术四级-9 肾自体移植术四级—10肾异体移植术四级—11肾修补术四级—12 经尿道输尿管病损钬激光切除术四级—13 输尿管-直肠吻合术四级—14 输尿管-回肠吻合术四级-15 输尿管—乙状结肠吻合术四级-16 输尿管阴道瘘修补术四级-17 输尿管成形术四级—18 经尿道膀胱肿瘤钬激光切除术四级—19 经尿道膀胱病损钬激光切除术四级-20 经尿道膀胱肿瘤电气化术四级-21 经尿道膀胱病损电气化术四级-22 经尿道膀胱肿瘤等离子电切术四级—23 膀胱全部切除术四级—24 膀胱阴道瘘修补术四级-25 膀胱尿道成形术四级—26 乙状结肠代膀胱四级-27 回肠代膀胱术四级-28 直肠代膀胱术四级—29 结肠代膀胱术（膀胱重建术）四级-30 经尿道尿道狭窄钬激光切除术四级—31 全尿道切除术四级-32 经尿道尿道病损切除术四级-33 尿道直肠瘘修补术，经尿道四级-34 尿道阴道瘘修补术四级-35 经尿道前列腺电气化术四级-36 经尿道前列腺等离子切除术四级—37 经尿道前列腺等离子电汽化术四级-38 前列腺根治切除术四级—39 经尿道前列腺钬激光切除术四级—40 经尿道前列腺钬激光治疗术四级—41 精囊切除术四级-42 阴茎全部切除术四级—43 复杂的男性盆腔肿瘤切除术(普外科）四级—44 腹腔镜下肾上腺肿瘤切除术四级-45 经皮肾镜狄激光碎石取石术四级—46 腹腔镜下肾实质切开取石术四级-47 腹腔镜下肾盂输尿管成形术四级-48 腹腔镜下肾脏切除术四级-49 腹腔镜下肾癌根治术四级—50 腹腔镜下腹膜后淋巴结清扫术三级—1 肾上腺肿瘤切除术三级-2 肾上腺病损切除术三级-3 肾上腺囊肿切除术三级-4 肾上腺切除术,单侧三级-5 肾上腺探查术三级-6 肾动脉栓塞术三级-7 肾探查术三级—8 肾切开取石术三级—9 腹腔镜下肾囊肿去顶减压术三级—10 经皮肾造口结石切除术三级—11 肾孟切开取石术三级-12 肾活检三级—13 肾病损切除术三级—14 肾肿瘤切除术三级-15 肾切除术三级—16 肾输尿管切除术三级-17 肾固定术三级-18 肾蒂扭转复位术三级—19 肾盂--输尿管吻合术三级—20 肾盂输尿管成形术三级—21 肾盂成形术三级—22 肾包膜切除术三级-23 输尿管取石术，经输尿管镜三级—24 输尿管弹道碎石术三级—25 输尿管镜套石篮取石术三级-26 输尿管镜钬激光碎石术三级—27 输尿管切开引流术三级—28 输尿管镜下钬激光切开术三级—29 输尿管切除术三级-30 输尿管部分切除术三级—31 经尿道输尿管襄肿切开术三级-32 输尿管造口术三级-33 皮肤—输尿管造口术三级—34 腹壁—输尿管吻合术三级—35 输尿管—膀胱吻合术三级-36 输尿管-输尿管吻合术三级-37 输尿管瘘修补术三级—38 膀胱肿瘤切除术,经尿道三级—39 膀胱病损切除术，经尿道三级-40 经尿道膀胱钬激光碎石术三级—41 脐尿管切除三级—42 膀胱悬吊术三级—43 膀胱颈切开术,经尿道三级-44 膀胱颈扩开术,耻骨上膀胱切开三级—45 尿道造口术三级-46 尿道会阴造瘘术三级—47 尿道狭窄电切术，经尿道三级—48 尿道瓣膜切除术三级—49 尿道肿瘤切除术三级—50 经尿道尿道病损电气化术三级—51 尿道部分切除术三级-52 尿道吻合术三级—53 尿道上裂修补术三级—54 尿道下裂成形术三级-55 耻骨弓下尿道修补术三级-56 尿道成形术三级—57 Snodgrass尿道下裂成形术三级-58 尿道后电切开术三级—59 尿道切开术，经尿道三级-60 尿道取石术三级-61 尿失禁修补术三级—62 泌尿系超声碎石术三级-63 前列腺脓肿引流术三级—64 前列腺切除术,经尿道三级-65 经尿道前列腺(反馈式)微波治疗三级-66 前列腺切除术,耻骨上经膀胱三级-67 前列腺切除术,耻骨后膀胱前三级—68 前列腺部分切除术三级—69 前列腺切除术,经会阴三级—70 前列腺切除术三级—71 腹腔镜下精索静脉高位结扎术三级—72 输精管吻合术三级-73 阴茎病损切除术三级—74 阴茎部分切除术三级—75 阴茎肿瘤切除术三级—76 阴茎缝合术三级—77 阴茎成形术三级—78 阴茎重建三级—79 阴茎矫直术三级—80 阴茎修补三级—81 包皮背侧或外侧切开术三级-82 男性盆腔病损切除术三级-83 男性盆腔引流术三级—84 B超定位下经皮肾盂穿刺造瘘术三级-85 等离子经尿道尿道狭窄电切术三级-86 腹腔镜下输尿管切开取石术三级-87 输尿管镜下双J管植入术二级—1 阴茎背静脉曲张结扎术（普外科）二级-2 肾囊肿去顶减压术二级-3 肾包膜切开血肿清除术二级—4 肾脓肿切开引流术二级—5 肾造瘘术二级—6 肾活检,经皮肤针吸二级—7 肾囊肿切除术二级—8 肾包膜切开引流术二级—10 其它治疗性物质注入肾囊肿二级-11 输尿管切开取石术二级-12 输尿管探查术二级-13 输尿管切开置管术二级-14 输尿管镜检查二级-15 输尿管囊肿切除术二级—16 输尿管病损切除术二级-17 输尿管纤维松解术二级—18 膀胱镜碎石术二级-19 结石液电碎石术二级-20 膀胱切开取石术二级-21 膀胱切开异物取出术二级-22 膀胱探查术二级-23 膀胱内口切开术二级-24 膀胱切开置管术二级-25 膀胱病损切除术二级-26 膀胱病损切开电烧术二级—27 膀胱颈V型切除术二级-28 膀胱病损激光治疗二级—29 膀胱肿瘤切除术二级—30 经耻骨,膀胱镜下取石术二级-31 膀胱部分切除术二级—32 膀胱瘘管闭合术二级-33 膀胱颈成形术二级-34 膀胱修补术二级—35 膀胱术后出血控制二级—36 尿道切开术二级-37 尿道外口切开术二级—38 尿道部分切开术二级—39 尿道病损切除术二级-40 尿道狭窄切除术二级—41 尿道口成形术二级-42 尿道口紧缩术二级—43 尿道会师术二级—44 尿道修补术二级-45 尿道内口切开术二级—46 尿道旁腺囊肿切除术二级—47 输尿管周围粘连松解术二级—48 输尿管松解术二级—49 肾周脓肿引流术二级-50 尿道悬吊术二级—51 输尿管扩张术，膀胱镜下二级-52 插管肾脏引流二级—53 膀胱镜下输尿管内支撑物插入术二级—54 输尿管造瘘管更换术二级—55 前列腺针剌活检二级-56 前列腺活检二级-57 前列腺术后止血术二级—59 阴囊肿瘤切除术二级—60 阴囊切除术二级—61 阴囊修补术二级—62 阴囊输精管瘘切除术二级-63 鞘膜囊肿切除术二级-64 睾丸肿瘤切除术二级-65 莫尔加尼氏Morgagni囊肿切除术,男性二级-66 睾丸附件切除术二级—67 睾丸病损切除术二级-68 根治性睾丸切除术，双侧二级-69 根治性睾丸切除术，单侧二级—70 睾丸固定术二级-71 睾丸复位术二级—72 睾丸修补术二级—73 精索静高位结扎术二级—74 精索肿瘤切除术二级—75 附睾切除术二级-76 输精管病损切除术二级-77 阴茎病损激光切除术二级-78 阴茎海绵体一阴茎头分流术二级—79 肾动脉造影术二级—80 输尿管支架取出术二级-81 去除尿通支撑物二级—82 非切开从尿道取出管腔内异物一级-1 B超引导下肾囊肿穿刺术一级-2 膀胱穿刺抽吸术一级-3 膀胱穿刺术一级—4 膀胱造口术一级-5 耻骨上膀胱造口术一级—6 膀胱镜检查一级-7 膀胱活检，经尿道一级—8 膀胱活检一级—9 尿道息肉电切术一级-10 尿道扩张术一级—11 膀胱造瘘管置换术一级-12 鞘膜部分切除术一级—13 鞘膜切除术一级—14 阴囊病损切除术一级—15 鞘膜翻转修补术一级—16 睾丸探查术一级-17 睾丸活检,经皮肤一级—18 睾丸活检一级—19 睾丸囊肿切除术一级—20 睾丸付睾切除术,单侧一级—21 睾丸切除术，单侧一级—22 睾丸切除术，双侧一级—23 附睾囊肿切除术一级—24 精索囊肿切除术一级-26 精索病损切除术一级-27 输精管结扎术一级-28 包皮环切术一级-29 包皮切除术。

经尿道膀胱颈电切治疗神经性膀胱38例临床分析

同一水平线上，分止血［３术后三腔导尿管压迫并持续冲充２１－。洗２３ｄ根据切开的深度和长度留置尿管３５ｄ～，～。
１３统计学分析．
过长，以免破坏尿道外括约肌，生尿失禁；宜采用单纯切发 ③ 割电流，宜采用混切电流；不 ④术中应妥善止血，保持视野清
２结果
）示，表采
本组３８例患者中，次手术成功３一２例．６例行二次余手术获得成功。术后拔尿管后经检测残余尿量下降６％～０
８％。尿流率明显改善，大尿流率上升至（６３２５０最１．± ．）ｍｌ，／ｓ尿路感染症状明显改善，盂积水未见继续扩大，功能不肾肾
［］郭应禄．内泌尿外科学【．：民军医出版社，９５１２１５５腔Ｍ】北京人１９：３— ３．
（稿日期：０９１－３收２０ — １２）
ＣＮＤＩＡＬＨＥＡＬ密嗣医药弓摇１５ＨＩＡＭＥＣＲＤ５
引起的神经性膀胱手术术式方法简单，者痛苦小，发症患并少，效持久．于操作。疗易
应用ＳＳ３０软件，量资料以± 准差ＰＳ１．计标
用ｔ验，＜．５为差异有统计学意义。检Ｐ００
２０３第卷９０年月７第期１

手术讲解模板：经尿道膀胱颈电切术

概述：
手术资料：经尿道膀胱颈电切术
概述：
治疗：轻者可服用α1受体阻滞剂，也可行尿道扩张术。梗阻严重者应行经尿道膀胱颈切开术或耻骨上膀胱切开、膀胱颈后唇楔形切除及膀胱颈Y-V 成形术。
手术资料：经尿道膀胱颈电切术
概述：经尿道膀胱颈电切术创伤小、痛苦少，住院时间短，疗效满意，是膀胱颈梗阻患者的首选治疗方法。
经尿道膀胱颈电切术
手术资料：经尿道膀胱颈电切术
经尿道膀胱颈电切术
科室：泌尿外科部位：膀胱
手术资料：经尿道膀胱颈电切术
麻醉：一般采用低位椎管内麻醉或硬脊膜外腔阻滞麻醉。取截石位。
手术资料：经尿道膀胱颈电切术
概述：
膀胱颈梗阻是指由尿道内口向尿道内延伸约1～2cm长的一段管状结构发生梗阻。病因分为先天性及后天性。先天性者多由于膀胱颈部肌肉肥厚所致。后天性者常由于局部慢性炎症等导致的膀胱颈部纤维性挛缩，女性较男性多见，且常在中年以后发生。前列腺手术后膀胱颈狭窄及膀胱颈括约肌与逼尿肌共济失调等亦可引起膀胱颈梗阻。
手术资料：经尿道膀胱颈电切术
并发症：
（1）出血：主要由于术中止血不彻底或继发感染性出血。处理方法为加强导尿管牵引及持续膀胱冲洗，防止血块形成及存留。选用有效的广谱抗生素控制感染。如用上述方法仍不能制止出血，应考虑再次直视下电凝止血。
手术资料：经尿道膀胱颈电切术
并发症：
（2）膀胱颈梗阻未彻底解除：由于电切深度或范围不够导致膀胱颈梗阻解除不彻底，术后仍然排尿困难。处理方法为加用尿道扩张及α-肾上腺素能受体阻滞剂，如哈乐等。如无效，可再次电切或选用膀胱颈楔形切除及Y-V成形术。
手术资料：经尿道膀胱颈电切术
概述：
临床症状主要是进行性排尿困难，表现为排尿费力、尿流细小、射出无力、分段排尿、排尿淋漓、尿潴留及充溢性尿失禁等。长期梗阻可导致泌尿系感染及肾功能不全。

医学英语词汇

手术（operation/procedure）名称翻译全集之四肾周围或肾脏肿瘤之引流术Drainage abscess perirenal or renal肾盂切开探查引流或切除Pyelotomy with exploration drainage or pyelolithotomy肾脏切片手术Open renal biopsyOpen renal biopsy肾切除术Nephrectomy肾部份切除术Partial nephrectomy肾输尿管切除术，不包括输尿管膀胱袖口切除术Nephroureterectomy without bladder cuff excision肾输尿管切除术，包括输尿管膀胱袖口切除术Nephroureterectomy with bladder cuff excision肾囊切除术，单侧Decapsulation cyst kidney，unilateral根治性肾切除术并行淋巴清扫术或合并局部淋巴切除术Radical nephrectomy with lymphadectomy，or with regional LND 内视镜肾盂切开术Endoscopic pyelotomy根治性肾切除术Radical nephrectomy根治性肾切除术合并下腔静脉瘤栓切除术Radical nephrectomy without regional LND，with IVC tumor thrombectomy 肾袋状成形术Kidney masupialization肾脏固定术：固定式悬挂Nephropexy fixation or suspension肾脏造瘘术（手术）Nephrostomy，operative肾内取石及肾盂取石术Nephro-pyelolithotomy肾鹿角石取石术Stag-horn stone nephro-pyelolithotomy萎缩性肾结石截除术Anatrophic nephrolithotomy肾缝合术Nephrorrhaphy肾盂成形术Pyeloplasty肾盂造瘘术Pyelostomy经皮肾结石取石术Percutaneous nephrostolithotomy （PCNSL）经PCN肾脏镜术Nephroscope （including secondary surgical operation of PCNSL）尸体捐肾切除术Nephrectomy from cadaver donor活体捐肾切除术Nephrectomy from living donor肾脏移植Renal implantation腹腔镜肾切除术Laparoscopic nephrectomy肾血管肌脂肪瘤摘除术Enucleation of renal hematoma输尿管除（取）石术－上或下1／3 输尿管Ureterolithotomy输尿管除（取）石术－中1／3 输尿管Ureterolithotomy输尿管切除术，包括膀胱袖口Ureterectomy，with bladder cuff输尿管成形术－单侧Ureteroplasty——unilateral输尿管成形术－双侧Ureteroplasty——bilateral输尿管剥离术－单侧Ureterolysis——unilateral输尿管剥离术－双侧Ureterolysis——bilateral输尿管肾盂造口吻合术或重建术Ureteropyelostomy or ureteropyeloplasty 输尿管和输尿管吻合术Ureteroureterostomy输尿管及对侧输尿管吻合术Transureteroureterostomy输尿管膀胱重建术－单侧Ureteroneocystomy——unilateral输尿管膀胱重建术－双侧Ureteroneocystomy——bilateral输尿管膀胱波氏瓣接合术Ureterorrhapy输尿管小肠吻合术－单侧unilatera输尿管小肠吻合术－双侧bilateral输尿管乙状结肠造口吻合术Ureterosigmoidostomy以肠管取代全部或部分输尿管，包括肠管吻合术－单侧Replacement ureter of all or part of ureter by bowel segment——unilateral 以肠管取代全部或部分输尿管，包括肠管吻合术－双侧Replacement ureter of all or part of ureter by bowel segment——bilateral 输尿管回肠经皮分流术（单侧）Ureteroileal cutaneous driver，unilateral输尿管回肠经皮分流术（双侧）Ureteroileal cutaneous driver，bilateral经内视镜输尿管切开术Endoscopic ureterotomy输尿管皮肤吻合术－单侧Ureterostomy，unilateral，transplantation of ureter to skin——unilateral 输尿管皮肤吻合术－双侧Ureterostomy，unilateral，transplantation of ureter to skin——bilateral 表皮输尿管瘘管闭合术Closure fistula，ureterocutaneous输尿管膀胱瘘管闭合术Closuer fistula，ureterovisceral输尿管回肠皮肤吻合术Uretero-ileal cutaneous diversion（ilelal conduit）输尿管插管术Ureter catheterization输尿管狭窄内扩张术Internal dilatation of ureteral stricture输尿管镜取石术及碎石术－单纯内视镜操作方式Ureteroscopy & removal of ureteral stone——simple endoscopic 输尿管镜取石术及碎石术－并用超音波或电击方式Ureteroscopy & removal of ureteral stone——with SONO/EHL 输尿管镜取石术及碎石术－并用雷射治疗方式Ureteroscopy & removal of ureteral stone——with Nd-Y AG laser 腹式会阴尿道悬吊术Abdominal perineal urethral suspension （APUS）腹腔镜输尿管取石术Ureterolithotomy经尿道输尿管憩室切开术Transurethral incision of ureterocele膀胱抽吸Aspiration bladder，with catheterization膀胱造口术Cystostomy－Open method膀胱造口术Cystostomy－Trocar method膀胱造口闭合Closure of cystostomy膀胱取石术Cystolithotomy单纯膀胱颈切开术Bladder neck incision膀胱憩室之切除（单个或多发性者）Cystotomy for excision of bladder diverticulum，single or multiple膀胱憩室电烧Coagulation bladder diverticulum膀胱肿瘤之切除－内视镜下Cystotomy for excision of bladder tumor——TURB tumor resection膀胱肿瘤之切除－手术Cystotomy for excision of bladder tumor——open method膀胱部分切除术Partial cystectomy膀胱全切除术Cystectomy without pelvis LND without urethrectomy without bladder reconstruction膀胱摄护腺根除术Cystoprostatectomy without PLND without urethrectomy without bladder reconstruction 膀胱全切除术合并尿道全切除术Cystectomy without pelvis LND with urethrectomy without bladder reconstruction膀胱全切除术合并原位新膀胱重建术Cystectomy without pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱摄护腺根除术合并原位新膀胱重建术Cystoprostatectomy without pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱全切除术及尿道全切除术合并禁尿膀胱重建术Cystectomy without pelvis LND with urethrectomy with continent reservoir reconstruction 膀胱全切除术合并骨盆腔淋巴切除术Cystectomy with pelvis LND without urethrectomy without bladder reconstruction膀胱摄护腺根除术合并骨盆腔淋巴切除术Cystoprostatectomy with pelvis LND without urethrectomy without bladder reconstruction 膀胱全切除术及尿道全切除术合并骨盆腔淋巴切除术Cystectomy with pelvis LND with urethrectomy without bladder reconstruction膀胱全切除术及骨盆腔淋巴切除术合并原位新膀胱重建术Cystectomy with pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱摄护腺根除术及骨盆腔淋巴切除术合并原位新膀胱重建术Cystoprostatectomy with pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱全切除术及骨盆腔淋巴切除术及尿道全切除术合并禁尿膀胱重建术Cystectomy with pelvis LND with urethrectomy with continent reservoir reconstruction膀胱成形术或膀胱尿道成形术Cystoplasty or cystourethroplasty膀胱尿道成形术并单侧或双侧输尿管膀胱吻合术Cystourethroplasty with unilateral or bilateral uretero neo cystotomy膀胱颈尿道前固定术或尿道固定术V esicourethropexy，anterior or Urethropexy as Marshall-Marchetti type 膀胱缝合术Cystorrhaphy膀胱阴道瘘管闭合术，由腹部开刀Closure fistula，vesicovaginal abdominal approach膀胱子宫瘘管闭合术，包含子宫切除术Closure fistula，vesicouterine with or without hysterectomy膀胱肠管成形术，包含肠吻合Enterocystoplasty including bowel anastomosis小肠膀胱增大术Augmentation of U-B & small intestine皮肤膀胱造口术Cutaneous vesicostomy膀胱尿道镜伴有输尿管切开术Cystourethroscopy with internal ureterotomy膀胱尿道镜及输尿管取石Cystourethroscopy with removal of ureteral calculus经尿道膀胱颈切开术Tur for bladder neck经尿道前列腺切开术Tur for prostate incisional碎石取出术、简单（在膀胱内压碎并除去）Endoscopic cystolitholapaxy，simple crushing of calculus in bladder and remove 碎石洗出术复杂性或大结石Endoscopic cystalitholapay，complicated腹式尿失禁手术Transabdominal urinary incontinence surgery阴道式尿失禁手术（含Kelly plication）Transvaginal urinary incontinence surgery （Kelly plication included）KELLY手术KELLEY operation阴道悬吊术Colposuspension or Burch operation间质性膀胱炎膀胱尿道镜扩张术Cystourethroscopy with dilation of bladder for interstitial cystitis部份膀胱及膀胱憩室切除术Partial cystectomy with excision of bladder diverticulum膀胱破裂修补术Repair of bladder rupture膀胱悬吊术Urinary bladder（MMF，SLING，BURCH）尿道结石（异物）除去术Removal of urethral stone or foreign body尿道肿瘤切除术Urethral tumor operation尿道狭窄修补手术－前段尿道Repair of urethra stricture——anterior urethral尿道狭窄修补手术－后段尿道Repair of urethra stricture——posterior urethral尿道整形术－包括阴茎或阴囊转换Urethroplasty，formation of urethra as Dennis Brown type procedure——including urinary diversion，penile or penoscrotal尿道整形术－重复Urethroplasty，formation of urethra as Dennis Brown type procedure——repeat procedure尿道人工扩约肌植入术Artificial urinary sphincter implantation外尿道口息肉切除术Polypectomy，external urethral尿道造瘘术Urethrostomy尿道憩室手术－前（后）部尿道Urethral diverticulectomy，anterior （posteriro）urethra尿道内切开术Otis urethrotomy修补尿道皮瘘术Repair urethral cutaneous fistula直视下尿道切开术Opitic uretrotomy尿道破裂手术－后段尿道Repair of urethral rupture——Posterior urethra尿道瘘管修补术（后段）Urethral fistulectomy（posterior）双侧海棉体破裂修复术Repair ruptured corpus cavernosum，bilateral尿道破裂手术－前段尿道Repair of urethral rupture——Anterior urethra尿道瘘管修补术（前段）Urethral fistulectomy（anterior）单侧海棉体破裂修复术Repair of ruptured corpus cavernosum，unilateral 尿道下裂手术Operation for hypospadias－glandular type尿道下裂重建术及阴茎痛性勃起矫正Reconstruction of hypospadias correction of chordee 尿道下裂一期重建术One stage reconstruction of hypospadias尿道下裂手术Operation for hypospadias－others阴茎切片Biopsy penis阴茎部份切除术Partial amputation of penis阴茎全部切除术Total amputation of penis全尿道切除术Total urethrectomy阴茎癌阴茎全部切除术Radical operation of penis cancer （partial penectomy）阴茎癌阴茎全部切除合并会阴部尿道造口术Total penectomy，with perineal cutaneous urethrostomy阴茎癌阴茎部份切除合并鼠蹊淋巴切除术Partial penectomy with inguinal LND阴茎癌阴茎全部切除合并鼠蹊淋巴切除术及会阴部尿道造口术Total penectomy with inguinal LND，with perineal cutaneous urethrostomy 阴茎重度创伤修补术Penis repair for severe trauma阴囊水肿切除术Hydrocelectomy阴囊异物移除Removal of foreign body，scrotum阴囊修补术Scrotal repair阴囊切除术Resection of scrotum芮斯比式治疗阴茎弯曲术Nesbit Procedure For Curvature Of Penis睪丸切片－单侧切开Testis biopsy ——incisional，unilateral睪丸切片－双侧切开Testis biopsy ——incisional，bilateral睪丸切除术－单侧Orchiedectomy——unilateral睪丸切除术－双侧Orchiedectomy——bilateral睪丸固定术－单侧Orchiopexy——unilateral睪丸固定术－双侧Orchiopexy——bilateral隐睪单侧睪丸固定术Orchiopexy for undescended testis，unilateral 隐睪双侧睪丸固定术Orchiopexy for undescended testis. Bilateral睪丸受伤之缝合或修补Suture or repair testicular injury睪丸恶性肿瘤高位切除术Orchidectomy for malignant tumor睪丸恶性肿瘤高位切除术并后腹腔淋巴切除术Orchidectomy for malignant tumor including lymphadenectomy 腹腔镜睪丸切除术Laparoscopic orchiectomy副睪丸切除术－单侧Epididymectomy——unilateral副睪丸切除术－双侧Epididymectomy——bilateral输精管副睪丸吻合术－单侧Epididymo-vasostomy——unilateral输精管副睪丸吻合术－双侧Epididymo-vasostomy——bilateral输精管切开单侧或双侧V asotomy，unilateral or bilateral储精囊切除术V esiculectomy，seminal vesicle精索切除Excision lesion，spermatic cord精索静脉瘤手术V arico-celectomy精索静脉高位结扎术High ligation or internal spermatic vein for varicocele腹腔镜精索静脉曲张结扎Laparoscopic high ligation of internal spormatic vein前列腺切片－控取式Biopsy prostate （punch）前列腺切片－切开式Biopsy prostate （incisional）摄护腺癌根除性摄护腺切除术Radical prostatectomy without pelvic lymph node dissection摄护腺癌根除性摄护腺切除术并双侧骨盆腔淋巴切除术Radical prostatectomy with bilateral pelvic lymph node dissection 被膜下前列腺切除术Suprapubic prostatectomy耻骨下前列腺切除术Retropublic prostatectomy经尿道摄护腺切除术——切除之摄护腺重量 5 至15 公克TUR of prostate gland，TURP 5 - 15 gms经尿道摄护腺切除术——切除之摄护腺重量15 至50 公克TUR of prostate gland，TURP 15 - 50 gms经尿道摄护腺切除术——切除之摄护腺重量大于50 公克TUR of prostate gland，TURP ＞50 gms经尿道前列腺切片术TUR for prostate gland biopsies前列腺脓疡切开引流abscess drainage prostatic经腹腔前列腺囊肿切除术Laparoscopic prostate cyst resection副睪丸脓疡切开引流Epididymal abscess drainage会阴脓肿切开引流（非产科）Incision and drainage of perineal abscess （Non-obstetric）尿道周脓疡切开引流术I&D for peri-urethral abscess阴囊脓疡切开引流术I&D for scrotal abscess会阴修补repair of perineum会阴修补及括约肌修补Repair of perinueum with sphincter repair会阴修补及肛门损伤修补Repair of perinueum with repair of anal defects广泛性外阴脓疡引流术Extended drainage of external genital abscess巴氏腺囊肿造袋术Marsupialization of Bartholin's gland cyst巴氏腺囊切除术Excision of Bartholin's gland女阴切除术或广泛性外阴癌组织切除（未合并皮肤或皮下组织重建）Simple vulvectomy or wide local excision of valvar cancer女性包皮切除术Female circumcision简单阴蒂切除术Simple clitoridectomy女阴白斑切除术V ulvar leukoplakia excision广泛阴蒂切除术Extensive clitoridectomy处女膜切开术Hymenotomy根治女阴切除术Radical V ulvgectomy女阴切除术（合并皮肤或皮下组织重建）Simple vulvectomy （with skin graft or reconstruction of subcutaneous tissue）阴道切开探查术或骨盆腔脓肿引流V aginotomy or drainage of pelvic abscess阴道囊肿切除术Excision of vaginal cyst阴道中膈切除术Resection of vaginal septum阴道后穹窿切开术Incision of posterior fornix阴道缝合术（缝合阴道损伤，非产科）V aginal wall repair （Non-obstetric）阴道会阴缝合术：缝合阴道及会阴损伤，（非产科）Colpoperineorrhaphy，suture of injury of vagina and/or perineum nonobstetrical 前侧阴道缝合术Colporrhaphy，anterior后侧阴道缝合术Colporrhaphy，Posterior前后侧阴道缝合术Anterior and posterior colporrhaphy前后侧阴道缝合术：包含肠膨出修补术Anterior and posterior colporrhaphy，（including repair of enterocele）从腹腔进入阴道固定术Transabdominal colpopexy经腹腔及阴道合并之骨盆底重建术及选择性尿失禁手术Combined abdominal and vaginal pelvic floor reconstrction with optional anti-incontinence operation （sacrocolpopexy，colporrhaphy combined anterior-posterior with enterocele repair）经阴道骨盆底重建及尿失禁整治手术（含子宫切除术）Pelvic floor reconstruction and anti-incontinence operation （transvaginal hysterectomy，sacro-spinal ligament fixation，colporrhaphy combined anterior-posterior with enterocele repair，cystourethropexy）经阴道骨盆底重建及尿失禁整治手术Transvaginal pelvic floor reconstruction （Sacro-spinal ligament fixation，colporrhaphy combined anterior-posterior with enterocele repair，urethropexy）麻醉下之阴道扩张术V aginal dilation under anesthesia阴道切除术－阴道部份切除Partial resection of vagina阴道切除术－阴道全部切除，阴道式Complete resection of vagina，vaginal approach阴道切除术－阴道全部切除，腹式合并阴道式Complete resection of vagina，combined abdominal and vaginal approach阴道闭合术LeFort colpocleisis人工阴道重建术（阴道狭窄或阴道缺失）－无皮肤移植Reconstruction of vagina （vaginal stenosis or vaginal defects，without skin graft）人工阴道重建术（阴道狭窄或阴道缺失）－有皮肤及大肠等移植Reconstruction of vagina （vagina stenosis or vaginal defects，with skin，colon or other graft）初次直肠阴道瘘管修补术Primary recto-vaginal fistula repair再次直肠阴道瘘管修补术Recurrent recto-vaginal fistula repair尿道阴道瘘管修补术Urethral vaginal fistula repair膀胱阴道瘘管修补术V esico vaginal fistula repair从阴道进入之阴道固定术Colpopexy，vaginal approach腹腔镜阴道悬吊术Colposuspension，lapa roscopic阴道式子宫颈切除术V aginal trachelectomy腹式并阴道式子宫颈切除术Combined abdominal and vaginal trachelectomy根除式子宫颈切除术Radical trachelectomy子宫颈整形术Tracheloplasty子宫颈缝合术Cervical cerclage子宫颈残余部扩张刮除术Dilation and curettage of cervical stump子宫颈楔状切除术Cervical conization子宫颈切断术Cervical amputation子宫颈蒂瘤切除术Cervical polypectomy阴道式残余子宫颈切除术V aginal excision of cervical stump腹式并阴道式残余子宫颈切除术Combined abdominal and vaginal excision of cervical stump经阴道子宫悬吊合并子宫颈部份切除术Manchester operation （Transvaginal uterine suspension with partial cervicectomy）诊断性或治疗性子宫扩张刮除术（非产科）Diagnostic or therapeutic dilation and curettage （non obstetric）一般子宫肌瘤切除术Uncomplicated myomectomy复杂性子宫肌瘤切除术Complicated myomectomy一般全子宫切除术Uncomplicated total hysterectom复杂性全子宫切除术Complicated total hysterectomy次全子宫切除术Subtotal hysterectomy骨盆腔粘连分离术Lysis of pelvic （abdominal）adhesion 子宫悬吊术Uterine suspension子宫广韧带裂伤修补或切除术Repair or resection of broad ligament子宫输卵管造口吻合术Hysterosalpingostomy子宫缝合术Hysterorrhaphy子宫整形术Metroplastic surgerySpalding-Richardson氏子宫脱出手术Spalding-Richardson's operation广泛性全子宫切除术Extended hysterectomy子宫颈癌全子宫根除术Radical hysteretomy for cervical cancer阴道式子宫根治手术（Schauta 式手术）Hysterectomy vaginal radical，Schauta type procedure子宫镜切除子宫腔隔膜或子宫肌瘤Hysteroscopic resection of uterine septum or hysteroscopic myomectomy腹腔镜全子宫切除术Laparoscopy assisted vaginal hysterectomy妇癌分期手术手术范围含：（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）妇癌减积手术手术范围含：（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）+radical dissection for debulking（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）+radical dissection for debulking妇癌二次剖腹探查术Gynecologic oncology second-look laparotomy子宫镜移除异物或息肉Hysteroscopic removal of foreign body or polyp子宫镜剥离子宫腔粘黏或子宫内膜电烧Hysteroscopic lysis of uterine adhesion or endometrial ablation腹腔镜式妇癌分期手术Laparoscopic gynecologic oncology staging surgery输卵管整形术Salpingoplasty输卵管剥离术Salpingolysis with microscopic输卵管吻合术End to end anastomosis输卵管造口术。

手术讲解模板：膀胱颈Y-V成形术

手术步骤：
后唇隆起，则作楔形切除。如膀胱颈口仅为环状缩窄，则作纵切横缝。 4.膀胱颈缝合用2-0可吸收线将倒V形膀胱瓣与切口远端创缘缝合。然后，依次将膀胱颈做倒V形缝合（图7.4.5.3-3）。将标志线与膀胱瓣尖端作第二层缝合，缝线不穿过粘膜。依次用1号线
手术资料：膀胱颈Y-V成形术
手术步骤：
手术资料：膀胱颈Y-V成形术
手术步骤：
3.切开膀胱颈于膀胱颈远侧约1cm处的前列腺（男性）或尿道（女性）前壁用4号丝线缝1针作标志。在标志点近侧至膀胱颈偏膀胱前壁作倒Y形切口，各臂长2～3cm，交角恰位于膀胱颈上方（图7.4.5.3-2）。出血点用缝扎或电凝止血。显露膀胱腔及颈部，如
手术资料：膀胱颈Y-V成形术
手术资料：膀胱颈Y-V成形术
术前准备： 2.并发肾功能不全者应留置导尿管引流尿液，待肾功能恢复后再行手术。
手术资料：膀胱颈Y-V成形术
手术步骤： 1.切口下腹部正中切口。
手术资料：膀胱颈Y-V成形术
手术步骤：
2.游离膀胱颈将病人头部放低，用手将膀胱下压并上牵，游离耻骨后间隙，充分显露膀胱颈部，继续游离膀胱颈前面（图 7.4.5.3-1）。
概述：
手术资料：膀胱颈Y-V成形术
概述：
治疗：轻者可服用α1受体阻滞剂，也可行尿道扩张术。梗阻严重者应行经尿道膀胱颈切开术或耻骨上膀胱切开、膀胱颈后唇楔形切除及膀胱颈Y-V 成形术。
手术资料：膀胱颈Y-V成形术
适应证：膀胱颈V-Y成形术适用于：
手术资料：膀胱颈Y-V成形术
适应证：膀胱颈V-Y成形术适用于严重的膀胱颈梗阻用经尿道膀胱颈电切术治疗无效，常与膀胱颈楔形切除术并用。
手术资料：膀胱颈Y-V成形术

泌尿外科英语名词【修正版】

泌尿外科医学英文名词泌尿外科医学名词（Medical Word in Urology）中文名英文名泌尿外科学urology孤立肾Solitary kidney重复肾Renal duplication, duplex kidney游走肾Movable kidney肾静脉栓塞Thrombosis of renal vein肾动脉狭窄Stenosis of renal artery单纯肾囊肿Simple cyst of kidney先天性肾囊性疾病Congenital renal cystic disease肾盂旁囊肿Parapelvic cyst肾损伤Injury of kidney肾裂伤Laceration of kidney肾蒂断裂Rupture of renal pedicle肾积水Hydronephrosis肾脓肿Renal abscess临床肾结核Clinical renal tuberculosis腔内泌尿外科学Endourology肾畸形Deformity of kidney马蹄形肾Horseshoe kidney肾下垂Nephroptosis肾外型肾盂Extrarenal pelvis肾旋转异常Renal malrotation肾动静脉瘘Renal arteriovenous fistula肾动脉栓塞Thrombosis of renal artery肾囊肿Cyst of kidney多囊肾Polycystic kidney肾挫伤Contusion of kidney肾破裂Rupture of kidney肾穿透伤Penetrating injury of kidney肾梗塞Renal infarction巨大肾积水Giant hydronephrosis肾积脓pyonephrosis病理性肾结核Pathological renal tuberculosis肾结核对侧肾积水Renal tuberculosis with Controlateral hydronephrosis 海绵肾Medullary sponge kidney肾肿瘤Tumor of kidney肾皮质腺瘤Renal cortical adenoma肾盂乳头状瘤Papilloma of renal pelvis肾实质癌Carcinoma of renal parenchyma肾透明细胞癌Clear cell carcinoma of kidney肾腺癌Adenocarcinoma of kidney肾鳞状细胞癌Squamous cell carcinoma of renal pelvis肾切开术Nephrotomy肾盂切开术Pyelotomy肾切除术Nephrectomy经皮肾造瘘术Percutanous nephrostomy肾造瘘术Nephrostomy根治性肾切除术Radical nephrectomy肾盂输尿管松解术Pelvioureterolysis腹膜后淋巴结切除术Retroperitoneal lymphadenectomy肾动脉栓塞术Embolization of renal artery肾鹿角状结石Staghorn stone of kidney肾萎缩Renal atrophy输尿管扩张Dilatation of ureter巨输尿管Megaloureter输尿管畸形Deformity of ureter重复肾盂Duplication of pelvis输尿管开口异位Ectopia of ureteral orifice腔静脉后输尿管Retrocaval ureter输尿管脱垂Ureterocele正常位输尿管膨出Orthotopic ureterocele肾血管平滑肌脂肪瘤Hamartoma of kidney，Angiomyolipoma 肾良性肿瘤Binign renal tumor肾脂肪瘤Lipoma of kidney肾纤维瘤Renal fibroma肾腺瘤Adenoma of kidney肾盂移行细胞癌transitional cell carcinoma of renal pelvis 肾盂肿瘤tumor of renal pelvis肾癌renal carcinoma肾细胞癌renal cell carcinoma肾颗粒细胞癌granular cell carcinoma of kidney肾母细胞瘤wilms tumor，nephroblastoma肾肉瘤sarcoma of kidney肾盂癌carcinoma of renal pelvis肾盂乳头状癌papillary carcinoma of renal pelvis肾切开取石术nephrolithotomy肾盂切开取石术pyelolithotomy肾-肾盂造瘘术nephropyelostomy肾部分切除术partial nephrectomy肾盂造瘘术pyelostomy肾自截autonephrectomy包膜下肾切除术subcapsular nephrectomy肾输尿管切除术nephro-ureterectomy肾固定术nephropexy剖腰探查术exploratory lumbotomy重复输尿管duplication of ureter输尿管积水hydroureter输尿管损伤injury of ureter输尿管瘘ureteral fistula输尿管结核tubculosis of ureter输尿管乳头状瘤papilloma of ureter输尿管移行细胞癌transitional cell carcinoma of ureter输尿管切开术ureterotomy输尿管松解术ureterolysis输尿管造瘘术ureterostomy输尿管-肠-皮肤尿流改道术uretero-enterocutaneous diversion 离断性肾盂输尿管成形术dismembered ureteropelvioplasty输尿管肾盂吻合术ureteroneopyelostomy输尿管切除术ureterectomy输尿管输尿管吻合术ureteroureterostomy阑尾输尿管成形术appendix ureteroplasty输尿管移植术transplantation of ureter输尿管梗阻ureteral obstruction肾盂输尿管交界处狭窄stricture of uretero-pelvic junction 输尿管痛ureteral colic膀胱憩室diverticulum of bladder膀胱挫伤contusion of bladder腹膜内膀胱破裂intraperitoneal rupture of bladder膀胱瘘vesical fistula细菌性膀胱炎bacterial cystitis膀胱结核tuberculosis of bladder膀胱嗜铬细胞瘤pheochromocytoma of bladder膀胱乳头状癌papillary carcinoma of bladder输尿管肾盂交接处梗阻obstruction at ureteropelvic junction 先天性巨输尿管congenital megaloureter反流性巨输尿管reflux megaloureter输尿管肠瘘uretero-enteric fistula输尿管肿瘤tumor of ureter输尿管癌carcinoma of ureter输尿管乳头状癌papillary carcinoma of ureter输尿管皮肤造瘘术cutaneous ureterostomy输尿管切开取石术ureterolithotomy输尿管口切开术ureteral meatotomy输尿管回肠皮肤尿流改道术ureteroileal cutaneous diversion输尿管回肠吻合术ureterosigmoidostomy，ureterosigmoid anastomosis输尿管结肠吻合术uretero-colic anastomosis输尿管膀胱吻合术ureteroneocystostomy输尿管皮肤尿流改道术uretero-cutaneous diversion输尿管结石calculus of ureter输尿管狭窄stricture of ureter输尿管口狭窄stricture of uretero-vesical orifice膀胱输尿管反流vesicoureteral reflux膀胱损伤injury of bladder膀胱破裂rupture of bladder膀胱腹膜外破裂extraperitoneal rupture of bladder膀胱阴道瘘vesicovaginal fistula膀胱肿瘤tumor of bladder膀胱乳头状瘤papilloma of bladder膀胱癌carcinoma of bladder膀胱原位癌bladder carcinoma in situ膀胱移行细胞瘤transitional cell carcinoma of bladder膀胱鳞状细胞瘤squamous cell carcinoma of bladder膀胱腺癌adenocarcinoma of bladder膀胱憩室内结石calculus in diverticulum of bladder经尿道膀胱颈切开术transurethral vesical neck incision耻骨上膀胱造口术suprapubic cystostomy膀胱憩室切除术vesical diverticulectomy膀胱切除术cystectomy膀胱全切除术total cystectomy膀胱尿道吻合术vesicourethral anastomosis膀胱灌注irrigation of bladder经尿道膀胱肿瘤切除术transurethral resection of bladder tumor回肠膀胱术ileal conduit, Bricker operation乙状结肠膀胱扩大术sigmoid augumentation cystoplasty回肠膀胱尿流改道术ileal conduit diversion髂腹股沟淋巴结切除术ilioinquinal lymphadenectomy膀胱异物foreign body in bladder膀胱孪缩contracture of bladder尿道口狭窄meatal stenosis尿道下裂hypospadias尿道损伤injury of urethra尿道瘘urethral fistula尿道直肠瘘urethro-rectal fistula尿道阴道瘘urethro-vaginal fistula神经源性膀胱neurogenic bladder尿道机械性梗阻mechanical obstruction of urinary tract尿道综合症urethral syndrome非淋菌性尿道炎non-gonococcal urethritis衣原体性尿道炎chlamydial urethritis尿道尖锐湿疣condylomata acuminata of urethra尿道肉阜urethral caruncle尿道息肉polyp of urethra尿道球腺囊肿cyst of cowper gland尿道癌carcinoma of urethra膀胱肉瘤sarcoma of bladder膀胱结石vesical calculus耻骨上膀胱穿刺吸引术suprapubic needle aspiration of bladder耻骨上膀胱切开取石术suprapubic cystolithotomy膀胱切开取石术cystolithotomy, cystolithectomy膀胱部分切除术partial cystectomy根治性膀胱切除术radical cystectomy可控性回肠膀胱术continent ileal reservoir, kock pouch经皮膀胱造口术percutanous cystostomy尿流改道术diversion of urine, urinary diversion回肠膀胱扩大术Ileum augmentation cystoplasty，ileo-cystoplasty 膀胱前列腺切除术cystoprostatectomy尿道狭窄urethral stricture尿道瓣膜urethral valve尿道憩室urethral diverticulum尿道皮肤瘘urethrocutaneous fistula尿道皮肤瘘urethrocutaneous fistula尿道瘘urinary fistula尿道异物foreign body in urethra尿道结石calculus of urethra压力性尿失禁stress incontinence神经性膀胱nervous bladder尿道探子urethral sounding尿道炎urethritis细菌性尿道炎bacterial urethritis淋菌性尿道炎gonococcal urethritis尿道结核tuberculosis of urethra尿道肿瘤tumor of urethra尿道口切开术urethral meatotomy经尿道尿道瓣膜切除术transurethral resection of urethral valve尿道膀胱固定术urethrovesicopexy经尿道外括约肌切开术transurethral sphincterotomy尿道会师术reconstruction of ruptured urethra by Bank method 尿道狭窄扩张术dilatation of urethral stricture尿道切除术urethrectomy尿道内切开术internal urethrotomy肾上腺切除术adrenalectomy皮质醇增生症hypercortisolism经尿道前列腺切除综合症transurethral prostatic resection syndrome慢性前列腺纤维化chronic fibrosis of prostate前列腺炎prostatitis前列腺肿瘤tumor of prostate前列腺腺癌adenocarcinoma of prostate前列腺癌carcinoma of prostate前列腺切除术prostatectomy耻骨后前列腺切除术retropubic prostatectomy经尿道前列腺切开术transurethral incision of prostate电切镜resectoscope泌尿生殖隔urogenital diaphragm尿路上皮urothelium尿路梗阻urinary tract obstruction泌尿生殖器外伤genitourinary trauma尿道成形术urethroplasty尿道口成形术urethral meatoplasty压力性尿失禁悬吊术sling procedure for stress incontinence尿道口前移阴茎头成形术meatal advancement and glandular plasty尿道前移术urethral advancement嗜铬细胞瘤pheochromocytoma原发性醛固酮增生症primary aldosteronism肾上腺非功能性皮脂腺瘤nonfunctional adrenocortical adenoma前列腺增生症hyperplasia of prostate前列腺按摩message of prostate细菌性前列腺炎bacterial prostatitis淋菌性前列腺炎gonococcal prostatitis耻骨上前列腺切除术suprapubic prostatectomy经尿道前列腺切除术transurethral prostatic resection根治性前列腺切除术radical prostatectomy尿路上皮肿瘤urothlial tumor尿路感染urinary tract infection泌尿生殖系统urogenital system精液囊肿seminal cyst, spermatocele精索扭转torsion of spermatic cord精索静脉曲张varicocele精囊炎seminal vesiculitis输精管结核tuberculosis of vas deferens精囊切除术seminal vesiculectomy输精管结扎术vasoligation输精管输精管吻合术vasovasostomy阴囊挫伤contusion of scrotum阴囊肿瘤tumor of scrotum睾丸鞘膜积液hydrocele of testis先天性鞘膜积液congenital hydrocele混合型鞘膜积液combination hydrocele脐尿管urachus脐尿管瘘fistula of urachus脐尿管囊肿urachal cyst脐尿管疾病dieases of urachus脐尿管癌carcinoma of urachus包茎phimosis小阴茎micropenis阴茎挫伤contusion of penis输精管切除术vasectomy精液囊肿切除术spermatocelectomy生殖器疱疹genital herpes交通性鞘膜积液communicating hydrocele阴囊血肿hematoma of scrotum脐尿管腺癌adenocarcinoma of urachus阴茎折断fracture of penis嵌顿包茎paraphimosis阴茎损伤injury of penis阴茎血肿hematoma of penis包皮变应性水肿allergic edema of prepuce包皮垢smegma阴茎勃起erection of penis阴茎纤维性海绵体炎fibrous cavernositis of penis阴茎血管瘤penile angioma阴茎癌carcinoma of penis阴茎鳞状细胞瘤squamous cell carcinoma of penis 包皮背侧切开术dorsal slit of prepuce阴茎切除术penectomy阴茎再造术reconstruction of penis睾丸发育不全hypoplasia of testis睾丸下降不全incomplete orchiocatabasis回缩睾丸retracted testis克兰费尔特综合症klinefelter syndrome睾丸萎缩atrophy of testis睾丸挫伤contusion of testis死精症necrospermia睾酮testosterone阳萎impotence睾丸炎orchitis腮腺炎性睾丸炎mumps orchitis睾丸精原细胞瘤seminoma of testis睾丸非生殖细胞瘤non-germinal cell tumor of testis 睾丸生殖细胞瘤germinal cell tumor of testis睾丸癌carcinoma of testis睾丸畸胎瘤teratocarcinoma of testis睾丸绒毛膜瘤choriocarcinoma of testis睾丸切除术orchiectomy附睾炎epididymitis附睾肿瘤tumor of epididymis包皮过长redundant prepuce阴茎肿瘤tumor of penis阴茎癌前期病precancerous lesion of penis阴茎鳞状细胞瘤squamous cell carcinoma of penis包皮环切术circumcision阴茎截断术amputation of penis人工阴茎penile prosthesis睾丸附件testicular adnexa隐睾症cryptorchidism睾丸损伤injury of testis早泄prospermia，premature ejaculation血管性阳痿vasculogenic impotence附睾睾丸炎epididymo-orchitis睾丸肿瘤tumor of testis非精原细胞瘤non seminoma睾丸畸胎瘤teratoma of testis睾丸胚胎癌embryonal carcinoma of testis附睾结核tubculosis of epididymis附睾腺瘤adenoma of epididymis遗尿症enuresis尿流中断interruption of urinary stream排尿困难difficulty of urination漏尿leakage of urination充溢性尿失禁overflow incontinence尿末滴沥terminal dribbling尿毒症uremia男性泌尿生殖系结核tuberculosis of male genital-urinary system 肾血管性高血压renal vascular hypertension血性精液hemospermia无精子症azoospermia逆行射精retrograde ejaculation不育sterility尿流率测定uroflometry尿道抬举试验marshall-marchetti test经尿道活检transurethral biopsy经会阴活检transperineal biopsy排泄性尿路造excretory urography,intravenous pyelography 肾盂输尿管造影术pyeloureterography肾血管造影术renal angiography经皮肾动脉造影术seldinger technique of renal angiography肾静脉造影术renal venography顺行肾盂造影术antegrade pyelography肾盂镜检查术pyeloscopy输尿管镜检查术ureteroscopy逆行膀胱造影术retrograde cystography排泄性膀胱造影术excretory cystography附睾切除术epididymectomy夜间遗尿症nocturnal enuresis排尿反射micturition reflex排尿犹豫hesitancy in urination尿外渗urinary extravasation假性尿失禁false incontinence女性尿失禁female incontinence剩余尿residual urine结晶尿crystalluria肾小球性血尿glomerular hematuria排尿指数micturition index遗精nocturnal emission精子减少[症] oligospermia手淫masturbation泌尿外科检查urologic examination尿流动力学检查urodynamic study膀胱测压cystometry夜间阴茎勃起试验nocturnal penile tumescence test经直肠活检transrectal biopsy尿道造影[术] urography逆行肾盂造影术retrograde urography，retrograde pyelography 肾动脉造影术renal arteriography选择性肾动脉造影术selected renal arteriography经股静脉插管transfemoral catheterization of femoral vein腹主-肾动脉造影术abdominal aorto-renal arteriography经尿道输尿管肾盂镜检查术transurethral ureteropeyloscopy输尿管肾镜ureterorenoscope输尿管肾盂造影术ureteropyelography膀胱造影术cystography膀胱尿道造影术cysto-urethrography膀胱冲洗法bladder washout method膀胱镜cystoscope逆行尿道造影术retrograde urethrography尿道镜urethroscope导尿术urethral catheterization，catheterization输精管造影术vasography阴茎海绵体造影术cavernosography肾图renography液电碎石术electrohydraulic lithotripsy经皮肾镜取石术percutaneous nephrolithotomy性行为sexual behavior性功能sexual function男性不育症male infertility精液semen高肾素型高血压high renin hypertension多尿型肾衰竭polyuric renal failure去梗阻后利尿postobstructive diuresis体外动静脉短路external arterio-venous shunt绒毛膜促性腺激素chorionic-gonodotropin hormone动力性尿路梗阻dynamic obstruction of urinary tract腹股沟疝inguinal hernia膀胱镜cystoscopy尿道造影术urethrography排泄性尿道造[术] excretory urethrography尿道膀胱造影[术] urethrocystography尿道镜检查[术] urethroscopy间歇性导尿intermittent catheterization淋巴系造影[术] lymphography输精管精囊造[术] vaso-seminal vesiculography输精管附睾造影[术] vasoepididymography精囊造影[术] seminal vesiculography附睾造影[术] epididymography超声碎石术ultrasonic lithotripsy体外冲击波碎石术extracorporeal shock-wave lithotripsy 性活动sexual activity精子spermatozoon男性性功能障碍male sexual dysfunction性腺功能减退症hypogonadism少尿型肾衰竭oliguric renal failure渗透性利尿osmotic diuresis组织相容性试验histocompatibility test性染色体sex chromosome射精ejaculation特发性腹膜后纤维化idiopathic retroperitoneal fibrosis细胞调亡apoptosis腹膜后纤维化retroperitoneal fibrosis憩室diverticulum动静脉瘘arteriovenous fistula剖腹探查术exploratory laparotomy冷冻疗法cryotherapy畸胎瘤teratoma肾盂输尿管连接部狭窄stricture of pyeloureteric junction 孤立性肾囊肿solitary renal cyst闭合伤closed injury肾移植renal transplantation肾上腺移植adrenal transplantation组织相容性histocompatibility超急性排斥反hyperacute rejection慢性排斥反应chronic rejection单克隆抗体monoclonal antibody麻醉anesthsia白细胞介素Interleukin尸体肾移植cadaveric renal transplantation疤痕scar端侧吻合术end-to-side anastomosis息肉polyp腹腔镜检查术laparoscopy错构瘤hamartoma重肾双输尿管duplication of kidney and ureter合并伤associated injury器官移植organ transplantation急性肾小管坏死acute tubular necrosis睾丸移植testis transplantation排斥反应rejection急性排斥反应acute rejection免疫抑制immunosuppression多克隆抗体polyclonal antibody感染infection乳头状瘤papilloma端端吻合术end-to-end anastomosis。

手术(operationprocedure)名称翻译全集之四

手术（operation/procedure）名称翻译全集之四肾周围或肾脏肿瘤之引流术Drainage abscess perirenal or renal肾盂切开探查引流或切除Pyelotomy with exploration drainage or pyelolithotomy肾脏切片手术Open renal biopsyOpen renal biopsy肾切除术Nephrectomy肾部份切除术Partial nephrectomy肾输尿管切除术，不包括输尿管膀胱袖口切除术Nephroureterectomy without bladder cuff excision肾输尿管切除术，包括输尿管膀胱袖口切除术Nephroureterectomy with bladder cuff excision肾囊切除术，单侧Decapsulation cyst kidney，unilateral根治性肾切除术并行淋巴清扫术或合并局部淋巴切除术Radical nephrectomy with lymphadectomy，or with regional LND 内视镜肾盂切开术Endoscopic pyelotomy根治性肾切除术Radical nephrectomy根治性肾切除术合并下腔静脉瘤栓切除术Radical nephrectomy without regional LND，with IVC tumor thrombectomy 肾袋状成形术Kidney masupialization肾脏固定术：固定式悬挂Nephropexy fixation or suspension肾脏造瘘术（手术）Nephrostomy，operative肾内取石及肾盂取石术Nephro-pyelolithotomy肾鹿角石取石术Stag-horn stone nephro-pyelolithotomy萎缩性肾结石截除术Anatrophic nephrolithotomy肾缝合术Nephrorrhaphy肾盂成形术Pyeloplasty肾盂造瘘术Pyelostomy经皮肾结石取石术Percutaneous nephrostolithotomy （PCNSL）经PCN肾脏镜术Nephroscope （including secondary surgical operation of PCNSL）尸体捐肾切除术Nephrectomy from cadaver donor活体捐肾切除术Nephrectomy from living donor肾脏移植Renal implantation腹腔镜肾切除术Laparoscopic nephrectomy肾血管肌脂肪瘤摘除术Enucleation of renal hematoma输尿管除（取）石术－上或下1／3 输尿管Ureterolithotomy输尿管除（取）石术－中1／3 输尿管Ureterolithotomy输尿管切除术，包括膀胱袖口Ureterectomy，with bladder cuff输尿管成形术－单侧Ureteroplasty——unilateral输尿管成形术－双侧Ureteroplasty——bilateral输尿管剥离术－单侧Ureterolysis——unilateral输尿管剥离术－双侧Ureterolysis——bilateral输尿管肾盂造口吻合术或重建术Ureteropyelostomy or ureteropyeloplasty 输尿管和输尿管吻合术Ureteroureterostomy输尿管及对侧输尿管吻合术Transureteroureterostomy输尿管膀胱重建术－单侧Ureteroneocystomy——unilateral输尿管膀胱重建术－双侧Ureteroneocystomy——bilateral输尿管膀胱波氏瓣接合术Ureterorrhapy输尿管小肠吻合术－单侧unilatera输尿管小肠吻合术－双侧bilateral输尿管乙状结肠造口吻合术Ureterosigmoidostomy以肠管取代全部或部分输尿管，包括肠管吻合术－单侧Replacement ureter of all or part of ureter by bowel segment——unilateral 以肠管取代全部或部分输尿管，包括肠管吻合术－双侧Replacement ureter of all or part of ureter by bowel segment——bilateral 输尿管回肠经皮分流术（单侧）Ureteroileal cutaneous driver，unilateral输尿管回肠经皮分流术（双侧）Ureteroileal cutaneous driver，bilateral经内视镜输尿管切开术Endoscopic ureterotomy输尿管皮肤吻合术－单侧Ureterostomy，unilateral，transplantation of ureter to skin——unilateral 输尿管皮肤吻合术－双侧Ureterostomy，unilateral，transplantation of ureter to skin——bilateral 表皮输尿管瘘管闭合术Closure fistula，ureterocutaneous输尿管膀胱瘘管闭合术Closuer fistula，ureterovisceral输尿管回肠皮肤吻合术Uretero-ileal cutaneous diversion（ilelal conduit）输尿管插管术Ureter catheterization输尿管狭窄内扩张术Internal dilatation of ureteral stricture输尿管镜取石术及碎石术－单纯内视镜操作方式Ureteroscopy & removal of ureteral stone——simple endoscopic 输尿管镜取石术及碎石术－并用超音波或电击方式Ureteroscopy & removal of ureteral stone——with SONO/EHL 输尿管镜取石术及碎石术－并用雷射治疗方式Ureteroscopy & removal of ureteral stone——with Nd-Y AG laser 腹式会阴尿道悬吊术Abdominal perineal urethral suspension （APUS）腹腔镜输尿管取石术Ureterolithotomy经尿道输尿管憩室切开术Transurethral incision of ureterocele膀胱抽吸Aspiration bladder，with catheterization膀胱造口术Cystostomy－Open method膀胱造口术Cystostomy－Trocar method膀胱造口闭合Closure of cystostomy膀胱取石术Cystolithotomy单纯膀胱颈切开术Bladder neck incision膀胱憩室之切除（单个或多发性者）Cystotomy for excision of bladder diverticulum，single or multiple膀胱憩室电烧Coagulation bladder diverticulum膀胱肿瘤之切除－内视镜下Cystotomy for excision of bladder tumor——TURB tumor resection膀胱肿瘤之切除－手术Cystotomy for excision of bladder tumor——open method膀胱部分切除术Partial cystectomy膀胱全切除术Cystectomy without pelvis LND without urethrectomy without bladder reconstruction膀胱摄护腺根除术Cystoprostatectomy without PLND without urethrectomy without bladder reconstruction 膀胱全切除术合并尿道全切除术Cystectomy without pelvis LND with urethrectomy without bladder reconstruction膀胱全切除术合并原位新膀胱重建术Cystectomy without pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱摄护腺根除术合并原位新膀胱重建术Cystoprostatectomy without pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱全切除术及尿道全切除术合并禁尿膀胱重建术Cystectomy without pelvis LND with urethrectomy with continent reservoir reconstruction 膀胱全切除术合并骨盆腔淋巴切除术Cystectomy with pelvis LND without urethrectomy without bladder reconstruction膀胱摄护腺根除术合并骨盆腔淋巴切除术Cystoprostatectomy with pelvis LND without urethrectomy without bladder reconstruction 膀胱全切除术及尿道全切除术合并骨盆腔淋巴切除术Cystectomy with pelvis LND with urethrectomy without bladder reconstruction膀胱全切除术及骨盆腔淋巴切除术合并原位新膀胱重建术Cystectomy with pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱摄护腺根除术及骨盆腔淋巴切除术合并原位新膀胱重建术Cystoprostatectomy with pelvis LND without urethrectomy with orthotopic neo-bladder reconstruction膀胱全切除术及骨盆腔淋巴切除术及尿道全切除术合并禁尿膀胱重建术Cystectomy with pelvis LND with urethrectomy with continent reservoir reconstruction膀胱成形术或膀胱尿道成形术Cystoplasty or cystourethroplasty膀胱尿道成形术并单侧或双侧输尿管膀胱吻合术Cystourethroplasty with unilateral or bilateral uretero neo cystotomy膀胱颈尿道前固定术或尿道固定术V esicourethropexy，anterior or Urethropexy as Marshall-Marchetti type 膀胱缝合术Cystorrhaphy膀胱阴道瘘管闭合术，由腹部开刀Closure fistula，vesicovaginal abdominal approach膀胱子宫瘘管闭合术，包含子宫切除术Closure fistula，vesicouterine with or without hysterectomy膀胱肠管成形术，包含肠吻合Enterocystoplasty including bowel anastomosis小肠膀胱增大术Augmentation of U-B & small intestine皮肤膀胱造口术Cutaneous vesicostomy膀胱尿道镜伴有输尿管切开术Cystourethroscopy with internal ureterotomy膀胱尿道镜及输尿管取石Cystourethroscopy with removal of ureteral calculus经尿道膀胱颈切开术Tur for bladder neck经尿道前列腺切开术Tur for prostate incisional碎石取出术、简单（在膀胱内压碎并除去）Endoscopic cystolitholapaxy，simple crushing of calculus in bladder and remove 碎石洗出术复杂性或大结石Endoscopic cystalitholapay，complicated腹式尿失禁手术Transabdominal urinary incontinence surgery阴道式尿失禁手术（含Kelly plication）Transvaginal urinary incontinence surgery （Kelly plication included）KELLY手术KELLEY operation阴道悬吊术Colposuspension or Burch operation间质性膀胱炎膀胱尿道镜扩张术Cystourethroscopy with dilation of bladder for interstitial cystitis部份膀胱及膀胱憩室切除术Partial cystectomy with excision of bladder diverticulum膀胱破裂修补术Repair of bladder rupture膀胱悬吊术Urinary bladder（MMF，SLING，BURCH）尿道结石（异物）除去术Removal of urethral stone or foreign body尿道肿瘤切除术Urethral tumor operation尿道狭窄修补手术－前段尿道Repair of urethra stricture——anterior urethral尿道狭窄修补手术－后段尿道Repair of urethra stricture——posterior urethral尿道整形术－包括阴茎或阴囊转换Urethroplasty，formation of urethra as Dennis Brown type procedure——including urinary diversion，penile or penoscrotal尿道整形术－重复Urethroplasty，formation of urethra as Dennis Brown type procedure——repeat procedure尿道人工扩约肌植入术Artificial urinary sphincter implantation外尿道口息肉切除术Polypectomy，external urethral尿道造瘘术Urethrostomy尿道憩室手术－前（后）部尿道Urethral diverticulectomy，anterior （posteriro）urethra尿道内切开术Otis urethrotomy修补尿道皮瘘术Repair urethral cutaneous fistula直视下尿道切开术Opitic uretrotomy尿道破裂手术－后段尿道Repair of urethral rupture——Posterior urethra尿道瘘管修补术（后段）Urethral fistulectomy（posterior）双侧海棉体破裂修复术Repair ruptured corpus cavernosum，bilateral尿道破裂手术－前段尿道Repair of urethral rupture——Anterior urethra尿道瘘管修补术（前段）Urethral fistulectomy（anterior）单侧海棉体破裂修复术Repair of ruptured corpus cavernosum，unilateral 尿道下裂手术Operation for hypospadias－glandular type尿道下裂重建术及阴茎痛性勃起矫正Reconstruction of hypospadias correction of chordee 尿道下裂一期重建术One stage reconstruction of hypospadias尿道下裂手术Operation for hypospadias－others阴茎切片Biopsy penis阴茎部份切除术Partial amputation of penis阴茎全部切除术Total amputation of penis全尿道切除术Total urethrectomy阴茎癌阴茎全部切除术Radical operation of penis cancer （partial penectomy）阴茎癌阴茎全部切除合并会阴部尿道造口术Total penectomy，with perineal cutaneous urethrostomy阴茎癌阴茎部份切除合并鼠蹊淋巴切除术Partial penectomy with inguinal LND阴茎癌阴茎全部切除合并鼠蹊淋巴切除术及会阴部尿道造口术Total penectomy with inguinal LND，with perineal cutaneous urethrostomy 阴茎重度创伤修补术Penis repair for severe trauma阴囊水肿切除术Hydrocelectomy阴囊异物移除Removal of foreign body，scrotum阴囊修补术Scrotal repair阴囊切除术Resection of scrotum芮斯比式治疗阴茎弯曲术Nesbit Procedure For Curvature Of Penis睪丸切片－单侧切开Testis biopsy ——incisional，unilateral睪丸切片－双侧切开Testis biopsy ——incisional，bilateral睪丸切除术－单侧Orchiedectomy——unilateral睪丸切除术－双侧Orchiedectomy——bilateral睪丸固定术－单侧Orchiopexy——unilateral睪丸固定术－双侧Orchiopexy——bilateral隐睪单侧睪丸固定术Orchiopexy for undescended testis，unilateral 隐睪双侧睪丸固定术Orchiopexy for undescended testis. Bilateral睪丸受伤之缝合或修补Suture or repair testicular injury睪丸恶性肿瘤高位切除术Orchidectomy for malignant tumor睪丸恶性肿瘤高位切除术并后腹腔淋巴切除术Orchidectomy for malignant tumor including lymphadenectomy 腹腔镜睪丸切除术Laparoscopic orchiectomy副睪丸切除术－单侧Epididymectomy——unilateral副睪丸切除术－双侧Epididymectomy——bilateral输精管副睪丸吻合术－单侧Epididymo-vasostomy——unilateral输精管副睪丸吻合术－双侧Epididymo-vasostomy——bilateral输精管切开单侧或双侧V asotomy，unilateral or bilateral储精囊切除术V esiculectomy，seminal vesicle精索切除Excision lesion，spermatic cord精索静脉瘤手术V arico-celectomy精索静脉高位结扎术High ligation or internal spermatic vein for varicocele腹腔镜精索静脉曲张结扎Laparoscopic high ligation of internal spormatic vein前列腺切片－控取式Biopsy prostate （punch）前列腺切片－切开式Biopsy prostate （incisional）摄护腺癌根除性摄护腺切除术Radical prostatectomy without pelvic lymph node dissection摄护腺癌根除性摄护腺切除术并双侧骨盆腔淋巴切除术Radical prostatectomy with bilateral pelvic lymph node dissection 被膜下前列腺切除术Suprapubic prostatectomy耻骨下前列腺切除术Retropublic prostatectomy经尿道摄护腺切除术——切除之摄护腺重量 5 至15 公克TUR of prostate gland，TURP 5 - 15 gms经尿道摄护腺切除术——切除之摄护腺重量15 至50 公克TUR of prostate gland，TURP 15 - 50 gms经尿道摄护腺切除术——切除之摄护腺重量大于50 公克TUR of prostate gland，TURP ＞50 gms经尿道前列腺切片术TUR for prostate gland biopsies前列腺脓疡切开引流abscess drainage prostatic经腹腔前列腺囊肿切除术Laparoscopic prostate cyst resection副睪丸脓疡切开引流Epididymal abscess drainage会阴脓肿切开引流（非产科）Incision and drainage of perineal abscess （Non-obstetric）尿道周脓疡切开引流术I&D for peri-urethral abscess阴囊脓疡切开引流术I&D for scrotal abscess会阴修补repair of perineum会阴修补及括约肌修补Repair of perinueum with sphincter repair会阴修补及肛门损伤修补Repair of perinueum with repair of anal defects广泛性外阴脓疡引流术Extended drainage of external genital abscess巴氏腺囊肿造袋术Marsupialization of Bartholin's gland cyst巴氏腺囊切除术Excision of Bartholin's gland女阴切除术或广泛性外阴癌组织切除（未合并皮肤或皮下组织重建）Simple vulvectomy or wide local excision of valvar cancer女性包皮切除术Female circumcision简单阴蒂切除术Simple clitoridectomy女阴白斑切除术V ulvar leukoplakia excision广泛阴蒂切除术Extensive clitoridectomy处女膜切开术Hymenotomy根治女阴切除术Radical V ulvgectomy女阴切除术（合并皮肤或皮下组织重建）Simple vulvectomy （with skin graft or reconstruction of subcutaneous tissue）阴道切开探查术或骨盆腔脓肿引流V aginotomy or drainage of pelvic abscess阴道囊肿切除术Excision of vaginal cyst阴道中膈切除术Resection of vaginal septum阴道后穹窿切开术Incision of posterior fornix阴道缝合术（缝合阴道损伤，非产科）V aginal wall repair （Non-obstetric）阴道会阴缝合术：缝合阴道及会阴损伤，（非产科）Colpoperineorrhaphy，suture of injury of vagina and/or perineum nonobstetrical 前侧阴道缝合术Colporrhaphy，anterior后侧阴道缝合术Colporrhaphy，Posterior前后侧阴道缝合术Anterior and posterior colporrhaphy前后侧阴道缝合术：包含肠膨出修补术Anterior and posterior colporrhaphy，（including repair of enterocele）从腹腔进入阴道固定术Transabdominal colpopexy经腹腔及阴道合并之骨盆底重建术及选择性尿失禁手术Combined abdominal and vaginal pelvic floor reconstrction with optional anti-incontinence operation （sacrocolpopexy，colporrhaphy combined anterior-posterior with enterocele repair）经阴道骨盆底重建及尿失禁整治手术（含子宫切除术）Pelvic floor reconstruction and anti-incontinence operation （transvaginal hysterectomy，sacro-spinal ligament fixation，colporrhaphy combined anterior-posterior with enterocele repair，cystourethropexy）经阴道骨盆底重建及尿失禁整治手术Transvaginal pelvic floor reconstruction （Sacro-spinal ligament fixation，colporrhaphy combined anterior-posterior with enterocele repair，urethropexy）麻醉下之阴道扩张术V aginal dilation under anesthesia阴道切除术－阴道部份切除Partial resection of vagina阴道切除术－阴道全部切除，阴道式Complete resection of vagina，vaginal approach阴道切除术－阴道全部切除，腹式合并阴道式Complete resection of vagina，combined abdominal and vaginal approach阴道闭合术LeFort colpocleisis人工阴道重建术（阴道狭窄或阴道缺失）－无皮肤移植Reconstruction of vagina （vaginal stenosis or vaginal defects，without skin graft）人工阴道重建术（阴道狭窄或阴道缺失）－有皮肤及大肠等移植Reconstruction of vagina （vagina stenosis or vaginal defects，with skin，colon or other graft）初次直肠阴道瘘管修补术Primary recto-vaginal fistula repair再次直肠阴道瘘管修补术Recurrent recto-vaginal fistula repair尿道阴道瘘管修补术Urethral vaginal fistula repair膀胱阴道瘘管修补术V esico vaginal fistula repair从阴道进入之阴道固定术Colpopexy，vaginal approach腹腔镜阴道悬吊术Colposuspension，lapa roscopic阴道式子宫颈切除术V aginal trachelectomy腹式并阴道式子宫颈切除术Combined abdominal and vaginal trachelectomy根除式子宫颈切除术Radical trachelectomy子宫颈整形术Tracheloplasty子宫颈缝合术Cervical cerclage子宫颈残余部扩张刮除术Dilation and curettage of cervical stump子宫颈楔状切除术Cervical conization子宫颈切断术Cervical amputation子宫颈蒂瘤切除术Cervical polypectomy阴道式残余子宫颈切除术V aginal excision of cervical stump腹式并阴道式残余子宫颈切除术Combined abdominal and vaginal excision of cervical stump经阴道子宫悬吊合并子宫颈部份切除术Manchester operation （Transvaginal uterine suspension with partial cervicectomy）诊断性或治疗性子宫扩张刮除术（非产科）Diagnostic or therapeutic dilation and curettage （non obstetric）一般子宫肌瘤切除术Uncomplicated myomectomy复杂性子宫肌瘤切除术Complicated myomectomy一般全子宫切除术Uncomplicated total hysterectom复杂性全子宫切除术Complicated total hysterectomy次全子宫切除术Subtotal hysterectomy骨盆腔粘连分离术Lysis of pelvic （abdominal）adhesion 子宫悬吊术Uterine suspension子宫广韧带裂伤修补或切除术Repair or resection of broad ligament子宫输卵管造口吻合术Hysterosalpingostomy子宫缝合术Hysterorrhaphy子宫整形术Metroplastic surgerySpalding-Richardson氏子宫脱出手术Spalding-Richardson's operation广泛性全子宫切除术Extended hysterectomy子宫颈癌全子宫根除术Radical hysteretomy for cervical cancer阴道式子宫根治手术（Schauta 式手术）Hysterectomy vaginal radical，Schauta type procedure子宫镜切除子宫腔隔膜或子宫肌瘤Hysteroscopic resection of uterine septum or hysteroscopic myomectomy腹腔镜全子宫切除术Laparoscopy assisted vaginal hysterectomy妇癌分期手术手术范围含：（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）妇癌减积手术手术范围含：（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）+radical dissection for debulking（BSO+omentectomy+A TH+retroperitoneal lymphadenectomy）+radical dissection for debulking妇癌二次剖腹探查术Gynecologic oncology second-look laparotomy子宫镜移除异物或息肉Hysteroscopic removal of foreign body or polyp子宫镜剥离子宫腔粘黏或子宫内膜电烧Hysteroscopic lysis of uterine adhesion or endometrial ablation腹腔镜式妇癌分期手术Laparoscopic gynecologic oncology staging surgery输卵管整形术Salpingoplasty输卵管剥离术Salpingolysis with microscopic输卵管吻合术End to end anastomosis输卵管造口术。

泌尿外科手术目录

Ⅱ级
37.
睾丸病损切除术
Ⅱ级
38.
睾丸附件切除术
Ⅱ级
39.
睾丸切除术,单侧
Ⅱ级
40.
睾丸附睾切除术,单侧
Ⅱ级
41.
睾丸肿瘤切除术
Ⅱ级
42.
鞘膜囊肿切除术
Ⅱ级
43.
阴囊修补术
Ⅱ级
44.
阴囊切除术
Ⅱ级
45.
阴囊肿瘤切除术
Ⅱ级
46.
前列腺针剌活检
Ⅱ级
47.
膀胱镜下输尿管内支撑物插入术
Ⅱ级
48.
膀胱镜下输尿管扩张术,
肾包膜切开血肿清除术
Ⅱ级
74.
肾囊肿去顶减压术
Ⅱ级
75.
腹腔镜下精索静脉高位结扎术
Ⅱ级
76.
腹腔镜下肾囊肿去顶术
Ⅱ级
77.
经尿道膀胱肿瘤电切除术
Ⅱ级
78.
输尿管镜检查
Ⅲ级
79.
输尿管镜下双J管植入术
Ⅲ级
80.
前列腺术后止血术
Ⅲ级
81.
腹腔镜下输尿管切开取石术
Ⅲ级
82.
等离子尿道内切开术
Ⅲ级
83.
B超定位下经皮肾盂穿刺造瘘术
Ⅲ级
117.
肾盂--输尿管吻合术
Ⅲ级
118.
肾固定术
Ⅲ级
119.
肾输尿管切除术
Ⅲ级
120.
肾切除术
Ⅲ级
121.
肾肿瘤切除术
Ⅲ级
122.
肾活检
Ⅲ级
123.
肾孟切开取石术
Ⅲ级
124.
肾切开取石术
Ⅲ级
125.

经尿道钬激光膀胱颈口切开联合坦洛新治疗小体积前列腺增生的疗效观察

质及膀胱颈究中所应用的
１．２治疗方法
２５例患者均在腰硬联合麻醉下，取截石位，采
酸盐坦洛新盐，属肾上腺素ｌ受体亚型０【ｌＡ的阻断剂，其对０【１受体的亲和力较０【２受体强５４００— ２４０００倍。由于尿道、膀
时给予止血，其止血时间是电刀的７０％，止血效果是电刀的２～４倍，术中可以达到精确的组织解剖层次和清晰的术野。我们在经尿道钬激光膀胱颈切开解除机械性膀胱梗阻，同时服用０【１Ａ受体阻滞剂以缓解动力梗阻，收到良好效果。在国际前列腺症状评分（ＩＰＳＳ）、生活治疗评分（ＱＯＬ）及最大尿流率（Ｑ …）
ｘ４０Ｈｚ），于膀胱颈部５点及７点处由内向外反复多次将前列
腺环状纤维充分切开，以显露深层的浆膜脂肪组织为度，直至切开处城“ Ｖ” 形敞开，膀胱颈充分舒展，切口长度＜２ｃｍ；对于膀胱后唇抬高明显呈堤坝样突起的，应用钬激光将堤坝样突起组织切除至堤坝样改变消失为准。退镜观察见膀胱颈部开口宽敞。撤出工作部件，插入Ｆ１８号三腔硅胶尿管，持续生理盐
３５６
司ＡｃｔａＡｃａｄＭｅｄＷｅｉｆａｎｇＶｏ１．３５Ｎｏ．５２０１３
前列腺体积＜３０ｍｌ，血ＰＳＡ＜４ｍｇ／Ｌ。其中有２例患者合并有
膀胱结石并有血尿症状。

泌尿外科手术记录模版汇总

一、经尿道前列腺电切术手术步骤和经过：1.麻醉成功后，患者取截石位，常规术野消毒铺无菌巾。

2.经尿道置入电切镜到膀胱，镜下见膀胱壁血管散在充血，小梁形成，膀胱内未见明显肿块、溃疡、结石等病变，膀胱颈抬高，前列腺两侧叶中叶均增大，以中叶为主，精阜山丘状。

设置电切功率为200瓦，电凝功率为100瓦。

电切由中叶六点处开始，膀胱颈处电切至膀胱颈环状纤维。

逐渐向深部和两侧及尖部电切，深达纹状结构的被膜层，以膀胱颈及精阜平面为界，依次电切两侧叶方法同前。

最后电切前列腺尖部，精阜两侧增生的前列腺组织及前列腺前联合处，修整创面。

创面彻底止血，观察尿道内口通畅，ELLIC冲洗器冲洗膀胱，吸出前列腺组织碎块并送病检。

膀胱内注水300毫升，拔出电切镜鞘，压膀胱，尿流尚可无明显尿失禁。

留置F22号三腔导尿管一根，囊内注水40毫升。

冲洗液呈淡红色。

3.术毕，术中出血少，未输血，切除前列腺组织碎块约XX克。

二、睾丸扭转手术步骤和经过：1.麻醉成功，患者取平卧位，常规术野消毒铺巾。

2.取右侧阴囊外侧垂直切口，长约3厘米。

分层切开阴囊皮肤、肉膜层。

3.血管钳提起睾丸三层鞘膜，切开。

探察见右侧睾丸附件位于睾丸上极，附睾头边，长约0.7厘米，有蒂。

暗红色，水肿状。

右侧精索在睾丸鞘膜囊内顺钟向扭转270度。

右侧睾丸稍水肿，色暗红。

4.切除扭转之右侧睾丸附件，送检病理。

5.复位睾丸精索，5分钟后，右侧睾丸颜色恢复正常。

决定保留右侧睾丸。

以4号丝线于睾丸鞘膜囊内将精索固定缝合2针。

在睾丸底部将右侧睾丸白膜缝合固定于阴囊底部1针。

6.彻底止血，清点纱布器械无误后，分层缝合睾丸鞘膜，阴囊皮肤切口，外敷无菌敷料。

阴囊切口纱布加压包扎。

术毕。

手术小结：1.麻醉满意，术中顺利，无副损伤。

2 术后右侧睾丸位置满意。

三、隐睾牵引固定术手术步骤和经过：1.麻醉成功，取平卧位，常规术野消毒、铺巾。

2.取右侧腹股沟切口，长约4厘米。

分层切开皮肤，皮下，暴露腹外斜肌腱膜，寻及外环，切开腹外斜肌腱膜，探查无明显神经损伤。