Gregory E, Simmons D, Weinberg J J
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Urol Clin North Am. 1988 Aug;15(3):541-6.
All endourologic instruments must be handled properly if they are to continue to function properly. Care must be taken in washing and sterilizing of this equipment, as not all endoscopic equipment can endure all methods, and people who are working with these instruments must be taught the proper care and sterilization methods of each. For example, fiberoptic telescopes and light cables must never be autoclaved; ethylene oxide is the method of choice. Disinfectant is an alternative. Loops, sheaths, high-frequency cables, resectoscopes, and working elements should be sterilized by ethylene oxide. Loops and high-frequency cables should not be soaked in a disinfectant, but other instruments may be soaked. All instruments should be dried before sterilization. Too much emphasis cannot be placed on the importance of proper storage of these very fragile fiberoptic instruments. With proper care and sterilization, these instruments will need fewer repairs and function properly for a longer time.
所有腔内泌尿外科器械若要继续正常发挥功能，都必须得到妥善处理。在清洗和消毒此类设备时必须格外小心，因为并非所有内镜设备都能耐受所有方法，而且必须向使用这些器械的人员传授每种器械的正确护理和消毒方法。例如，纤维光学望远镜和光缆绝不能进行高压灭菌；环氧乙烷是首选方法。消毒剂是一种替代方法。套圈、鞘管、高频电缆、电切镜和工作部件应采用环氧乙烷进行灭菌。套圈和高频电缆不应浸泡在消毒剂中，但其他器械可以浸泡。所有器械在灭菌前都应干燥。对于妥善存放这些非常脆弱的纤维光学器械的重要性，再怎么强调都不为过。通过适当的护理和消毒，这些器械需要维修的次数会减少，并且能在更长时间内正常发挥功能。
