丹阳市人民医院泌尿外科成立于七十年代,是镇江市重点专科,在镇江市及周边地区享有较高声誉。科内现有主任医师2名,副主任医师4名,主治医师3名,住院医师2名。担任省级专科学术委员两名,硕士研究生导师1名,兼职教授1名,南通大学附属医院兼职讲师5名,南京医科大学康达学院兼职讲师2名,科室作为独立的专科,拥有床位25张,年门诊量达25000余人次,年收治病人1300余人次,年手术量1300余人次。近年来开展了多项新技术、新项目,2011年率先在镇江地区开展经皮肾镜碎石术并常年保持此手术量领先,2014年首次在镇江开展输尿管软镜技术,2016年起最早引进“科医人”大功率钬激光设备并开展经尿道前列腺钬激光剜除术,2020年起引进“基于MRI认知融合B超引导前列腺穿刺活检术”,提高穿刺阳性率,达到精准穿刺。2019年派人参加新疆建设兵团四师医院援疆工作。医院为了促进泌尿科发展,化费巨大财力引进国内外先进的仪器设备,目前科内拥有Lumenis“科医人”大功率钬激光设备1台、美国Trimedyne双脉冲钬激光设备1台、进口STORZ膀胱镜10套、电子膀胱软镜1套、电子输尿管软镜2套、一次性电子输尿管软镜,输尿管硬镜5套、SMP及微创经皮肾镜2套、前列腺钬激光剜除镜2套、前列腺等离子汽化电切镜2套、进口尿道内切开器1套、STORZ高清腹腔镜设备2台、三D腹腔镜设备1台、德国进口弹道碎石机、结石成份分析仪、男性功能治疗仪、尿动力检查仪及双定位体外震波碎石治疗仪各1台和先进的性病监测设备,并引进了目前先进的结石清石系统。本科常规开展常规开展经尿道前列腺电切术、前列腺钬激光剜除术、经尿道膀胱肿瘤等离子电切术、经尿道膀胱肿瘤整块剜除术、经尿道输尿管软镜钬激光碎石术、经皮肾镜碎石术,腹腔镜下复杂性肾上腺肿瘤切除术、腹腔镜下肾癌根治性切除术,腹腔镜下肾部分切除术,三D腹腔镜下前列腺癌根治性切除术、腹腔镜下全膀胱切除术、腹腔镜下肾盂输尿管连接部成形术等。教学方面,多名获得南通大学医学院高等院校讲师资格,做好住院医师、规培生、实习生授课及带教本职工作,并在南京医科大学康达学院教学查房竞赛中取得较好成绩。科室参与国家自然科学基金面上项目2项,获丹阳市政府科技进步奖2项,丹阳市新技术引进奖2项,近年累计主持并完成镇江市市级课题5项,发表SCI文章10篇,2021年取得专利一项。拥有国家实用新型发明专利2项。
The Department of Urology of Danyang People's Hospital, founded in 1970s, is a key specialty in Zhenjiang City and enjoys a high reputation in Zhenjiang City and surrounding areas. There are 2 chief physicians, 4 deputy chief physicians, 3 attending physicians and 2 resident physicians in the department. He serves as two provincial academic committee members, one master tutor, one part-time professor, five part-time lecturers in the Affiliated Hospital of Nantong University, and two part-time lecturers in Kangda College of Nanjing Medical University. As an independent specialty, the department has 25 beds, an annual outpatient volume of more than 25,000 patients, 1,300 patients and 1,300 surgical operations. In recent years, it has carried out a number of new technologies and projects. In 2011, it took the lead in carrying out percutaneous nephrolithotripsis in Zhenjiang area and maintained its leading operation volume all year round. In 2014, it carried out ureteral soft lens technology for the first time in Zhenjiang. In 2020, "MRI cognitive fusion B-ultrasound guided prostate biopsy" will be introduced to improve the positive rate of puncture and achieve accurate puncture. In 2019, it sent people to participate in the Xinjiang Construction Corps fourth Division hospital aid work. In order to promote the development of urology, the hospital has spent huge financial resources to introduce advanced instruments and equipment at home and abroad. At present, the department has 1 Lumenis high-power holmium laser device, 1 Trimedyne dual-pulse holmium laser device from the United States, 10 sets of imported STORZ cystoscope, 1 set of electronic cystoscope, 2 sets of electronic ureteral soft mirror, disposable electronic ureteral soft mirror. 5 sets of ureteroscopy, 2 sets of SMP and minimally invasive percutaneous nephroscopy, 2 sets of holmium laser enucleation of prostate, 2 sets of plasma vaporizing electric resection of prostate, 1 set of imported urethral incision, 2 sets of STORZ HD laparoscopic equipment, 1 set of 3D laparoscopic equipment, ballistic lithotriptor imported from Germany, stone composition analyzer, male functional therapy instrument, urinary dynamic test instrument and double locator External shock wave lithotripsy treatment equipment and advanced STD monitoring equipment, and the introduction of the current advanced stone cleaning system. The undergraduate program routinely performs transurethral resection of prostate, holmium laser enucleation of prostate, transurethral plasma resection of bladder tumor, transurethral enucleation of bladder tumor, transurethral flexible ureteral holmium laser lithotripsy, percutaneous nephrolithotripsy, laparoscopic complex adrenal tumor resection, laparoscopic radical nephrectomy, laparoscopic partial nephrectomy. Three D laparoscopic radical resection of prostate cancer, laparoscopic total cystectomy, laparoscopic pyeloureteroplasty and so on. In terms of teaching, many of them have obtained the lecturer qualification of Nantong University Medical School, and have done well in the work of resident doctors, regular students, interns and teaching and teaching, and have achieved good results in the teaching round competition of Kangda College of Nanjing Medical University. The department participated in 2 projects of the National Natural Science Foundation, won 2 Science and Technology Progress Awards of Danyang City Government and 2 New Technology Introduction Awards of Danyang City. In recent years, the department has presided over and completed 5 municipal projects of Zhenjiang City, published 10 SCI articles, and obtained one patent in 2021. It has 2 national utility model invention patents.
专科特色及开展项目:
泌尿外科:除开展门诊专科诊疗外,常规开展的手术有:包皮环切术、肾囊肿去顶减压术、尿道下裂成形术、隐匿性阴茎矫正术、精索睾丸鞘膜积液翻转术、睾丸肿瘤根治术、附睾肿瘤切除术、隐睾阴囊内固定术、乳糜尿大隐静脉淋巴结吻合术、精索静脉曲张高位结扎术等,科内独立开展的肾部分切除术治疗肾多发性结石、肾窦肾实质切开取石术、膀胱癌行膀胱部分切除术和膀胱全切除、肠道代膀胱术、肾上腺嗜铬细胞瘤切除术为本专科特色之一,大部分已达到了三级甲等医院水平。
泌尿微创外科:本科采用先进的进口设备开展了以下泌尿微创外科手术:(1)经尿道前列腺钬激光剜除术治疗前列腺增生、经尿道等离子电切汽化术治疗膀胱肿瘤和前列腺增生症;(2)尿道镜直视下冷刀内切开术治疗尿道狭窄和闭锁;(3)肾囊肿B超或X线定位下穿刺引流术;(4)输尿管软镜下钬激光碎石术;(5)膀胱镜直视下膀胱结石碎石和膀胱出血电灼术;(6)输尿管镜下碎石术及经皮肾镜碎石术;(7)腹腔镜下肾上腺肿瘤切除;(8)腹腔镜下肾囊肿去顶;(9)腹腔镜下肾癌根治;(10)腹腔镜下肾蒂淋巴管结扎;(11)腹腔镜下精索静脉结扎;(12)体外震波碎石术治疗泌尿系结石等。这些治疗的共同点是:疗效确切,对病人创伤极小,病人恢复快,住院时间短,化费少。经尿道前列腺及膀胱肿瘤电切术、泌尿系统结石汽压弹道或钬激光碎石术、腹腔镜下肾上腺肿瘤切除术、腹腔镜下肾囊肿去顶减压术、精索静脉曲张腹腔镜下高位结扎术等微创手术是我院泌尿外科开展的重点特色项目。特别是卜强主任调入我院后开展的经皮肾镜钬激光碎石术及输尿管软镜下碎石术,在镇江巿处于领先地位。
男性科:作为一门新兴科目,男性科在本院为一独立的专科。近年来通过走出去,请进来的方式培养了一批专科人才,使该专科的发展加快,2013年我院引进了男性工作站,我科利用先进的设备对男性不育症、男性功能障碍、男性尿道炎、前列腺炎、尖锐湿疣等进行规范化诊治,病人在化费较少的情况下,能很快获得痊愈,深得广大患者信赖。
学科带头人介绍:
卜强:泌尿外科主任,医学博士,主任医师,硕士研究生导师,江苏省中西医结合学会泌尿专业委员会委员,江苏省医学会泌尿外科学分会肿瘤学组委员,镇江市医学会泌尿外科专业委员副主任委员,镇江医学会医疗事故技术鉴定专家组成员。从事临床工作20余年,积累了丰富的临床经验,熟练掌握泌尿系统、男性生殖系统疾病的诊治,擅长应用电切镜、经皮肾镜等腔内技术在微创下诊治泌尿外科疾病。曾在省级以上杂志发表科研论文二十余篇。
科普知识:
一、何为老年性前列腺增生症?
前列腺增生症为老年男性常见病,随着我国人均寿命的延长,前列腺增生症发病率明显增加,目前已成为泌尿外科和老年医学中的一个重要课题。40岁以上男性在病理上均有不同程度前列腺增生,但50岁以后才逐渐出现症状。前列腺增生腺体可产生膀胱颈部机械性梗阻,从而可产生尿频,尤其是夜尿次数增多,排尿迟缓无力,尿线间断、分叉甚至于滴沥,严重时可出现不能排尿、血尿、尿毒症甚至癌变,因此,凡年龄在50岁以上的男性,出现上述表现应及时到医院就诊。
二、什么情况下前列腺增生症需要手术治疗?
出现下列情况应考虑手术治疗:1、合并膀胱结石或憩室;2、夜尿次数超过四次;3、残余尿测定超过50毫升;4、引起慢性尿毒症;5、前列腺反复出血;6、出现急性尿潴留;7、肛门指检有恶变可能者。
三、经尿道前列腺电切除术有哪些优点?
经尿道前列腺电切除术对病人损伤小,恢复快,化费少,病人住院时间短(一般住院少于五天),且对病人适应症广泛,腹部无手术疤痕,术后无性功能障碍。在美国及英国,经尿道前列腺电切除术已达到手术病人的95%,基本上取代了其它手术方法。
四、泌尿系统结石微创治疗优点,手术方法有哪些?
微创手术具有创伤小、痛苦轻、恢复快等优点,是继无菌技术、麻醉、器官移植之后,外科发展史上的又一重大技术革命。泌尿系结石的微创治疗方法包括体外冲击波碎石术、经皮肾镜碎石取石术、经尿道输尿管硬镜及软镜碎石取石术及经尿道膀胱镜碎石取石术等。
泌尿外科出院病人须知:
1、病人应酌情多饮水,以保证病人内冲洗。
2、结石病人碎石后应适当多饮水,多活动并服用排石药物,促使结石排出。饮食应荤素搭配,并增加粗食,以免再生结石。
3、前列腺术后病人一月内避免重体力劳动,避免骑自行车,保持大便通畅,如术后排尿变细,及时到医院复诊。
4、遵照医嘱按时门诊复诊。
泌尿外科、男性科咨询电话:86553017