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我们于1985年开始,利用废旧的膀胱镜自制膀胱穿刺造瘘针,治疗急慢性尿潴留100例,收到良好的效果。一、制作方法:取废旧的膀胱镜(21F),锯掉前段弯头部分;取膀胱镜闭孔器锯掉前面膨大部分,保留1.45cm,前端0.8cm套螺丝扣;另取直径0.5cm,长3.5cm不锈钢圆柱,头部磨成三棱针状,底部套内螺丝扣,两扣相接拧紧,插入膀胱镜露出尖端1cm,制作结束。二、使用方法:于腹正中线耻骨联合上二横指处,用0.5%奴夫卡因5ml,局部浸润麻醉。切开皮肤1cm,将膀胱穿刺造瘘针沿切口垂直刺入6～8cm,拔出针蕊,轻压膀胱区如有尿液流出,取12号导尿管通过膀胱穿刺针鞘放入膀胱内留置。拔出膀胱
We started in 1985, the use of waste cystoscopy homemade bladder puncture fistula needle, the treatment of acute and chronic urinary retention in 100 cases, received good results. First, the production method: Take the waste cystoscope (21F), saw off the front elbow part; take the cystoscope closed the front part of the sawing saw blade, retaining 1.45cm, the front 0.8cm sets of turnbuckles; other diameter 0.5cm, 3.5cm long stainless steel cylinder, the head ground into a triangular needle, the bottom of the set of screw buckle, two fasteners connected tighten, insert the cystoscope exposed tip 1cm, the production of the end. Second, the use of method: in the abdomen of the median pubic symphysis on the two cross-means, with 5% Nuvucaine 5ml, local infiltration anesthesia. Cut the skin 1cm, the bladder puncture ostomy needle perpendicular incision along the incision 6 ~ 8cm, pull out the needle core, gently urinate bladder area if urine outflow, take the catheter on the 12th through the bladder puncture needle sheath into the bladder Leave. Pull out the bladder