膀胱镜检查损伤尿道者常有发生,但膀胱镜穿破膀胱或直肠者少见。我院遇见2例,报告如下。 [例1] 男,65岁。因排尿困难2年,于1978年11月24日入院。患者自1976年起,常感排尿困难,夜尿次数增多,诊断为前列腺增生并膀胱结石收住院。11月25日膀胱镜检查:膀胱镜插入至膜部尿道时多次受阻,换第三人将膀胱镜插入后,抽出镜芯有鲜血滴出,镜下视野一片红色,被迫终止检查。检查后排尿更加困难,每次只有几滴鲜血,疼痛剧烈,伴面色苍白,出冷汗,下腹膨隆,行导尿及耻骨上膀胱穿刺引流失败。次日在硬膜外麻醉下行膀胱探查术:见膀胱极度扩张,呈紫蓝色,切开膀胱取出凝血块约700 ml,并取出花生米大结石1枚,在膀胱三角区与前列腺增生唇状突起之间有一小指头大裂口,并不断渗血(图1),用右手食指从裂口处进入将前列腺剜出,然后取2-0肠线将膀胱颈部 Cystoscopy damage urethra often occur, but the cystoscope to wear the bladder or rectum are rare. 2 cases met in our hospital, the report is as follows. [Example 1] Male, 65 years old. Due to dysuria for 2 years, on November 24, 1978 admission. Patients since 1976, often feeling dysuria, increased frequency of nocturia, diagnosis of benign prostatic hyperplasia and bladder stones admitted to hospital. November 25 cystoscopy: Cystoscopy inserted into the urethra membrane repeatedly blocked, for a third person to insert the cystoscopy, the core out of the blood dripping, microscopic field of vision was a red, was forced to terminate the examination. Urine examination more difficult, each time only a few drops of blood, severe pain, accompanied by pale, cold sweat, abdominal bulging, catheterization and suprapubic bladder puncture failure. The next day in the epidural anesthesia under bladder exploration: See the extreme expansion of the bladder, was purple-blue, remove the bladder remove the clot of about 700 ml, and remove the peanut large stone 1, in the bladder trigone and hyperplasia of the lip hyperplasia Protrusion between a little finger big gap, and continuous bleeding (Figure 1), with his right index finger from the rip into the prostate will be out, and then take the 2-0 catgut bladder neck