输尿管镜现在已经是处理上尿路结石的首要仪器,由于其安全性高、学习曲线短、手术风险小等特点,深受医师和患者的喜欢。可是输尿管镜的购置价格昂贵(纤维软镜的价格20万以上,电子软镜的价格40万以上)。
Ureteroscopy is now the primary instrument for the treatment of upper urinary tract stones. Because of its high safety, short learning curve and low risk of operation, it is loved by doctors and patients. However, the purchase price of ureteroscope is expensive (the price of flexible fiberscope is more than 200000, and the price of electronic flexible ureteroscope is more than 400000).
设备易损坏(输尿管镜的耐用性评价报告规模是3--159次,使用寿命差距较大),修理本钱高(输尿管镜损坏后一般都需要大修,一次的费用3万以上),所以如何提高软镜的使用寿命成为许多医院领导头疼事情。
The equipment is easy to be damaged (the scale of the durability evaluation report of ureteroscope is 3-159 times, the service life gap is large), and the repair cost is high (after the ureteroscope is damaged, it generally needs to be overhauled, and the cost is more than 30000 at a time), so how to improve the service life of flexible ureteroscope has become a headache for many hospital leaders.
一般医院领导和行政科室以为设备的损坏都是由于临床医师的使用问题,把医师的技术水平和操作能力作为主要原因进行追责甚至要求医师和科室承担修理费用。
Generally, hospital leaders and administrative departments think that the damage of equipment is due to the use of clinicians, and take the technical level and operation ability of doctors as the main reason for accountability, and even require doctors and departments to bear the repair costs.
其实,导致输尿管镜损伤的原因有许多,有研究标明,医师操作要素占32%,灭菌消毒不标准要素68%。
In fact, there are many reasons leading to ureteroscopic injury. Studies have shown that 32% of the patients are doctors' operation factors, and 68% of the patients are non-standard sterilization factors.
关于纤维输尿管镜的损坏各厂家的产品不同不大,临床医师操作原因导致的软镜的损坏占28%,进一步的标准操作使术中对软镜的损坏持续减少;非手术原因导致的设备损坏占72%,其中尤其重要的是水洗、预清洗和灭菌过程的损坏占比十分高。
The damage of flexible ureteroscope caused by clinician's operation accounted for 28%, and the further standard operation reduced the damage of flexible ureteroscope during operation; the damage of equipment caused by non-surgical reasons accounted for 72%, especially the damage of washing, pre cleaning and sterilization process.
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