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可弯曲输尿管肾镜检查:技巧与窍门

Flexible ureterorenoscopy: Tips and tricks.

作者信息

Somani Bhaskar Kumar, Aboumarzouk Omar, Srivastava Aneesh, Traxer Olivier

机构信息

Consultant Urological Surgeon and Stone lead, Southampton University Hospitals NHS Trust, United Kingdom.

出版信息

Urol Ann. 2013 Jan;5(1):1-6. doi: 10.4103/0974-7796.106869.

DOI:10.4103/0974-7796.106869
PMID:23662000
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3643314/
Abstract

With advancement in technology, improvement in endoscope and ancillary equipment, more complex procedures can be performed using flexible ureterorenoscopy. In this review article we provide a summary of flexible ureterorenoscopic procedures with "tips and tricks" for success for each type of procedure. It looks at the disposables used with flexible ureterorenoscopic procedures, set up and patient positioning for gaining access, insertion and handling of scope and the use of urethral access sheath. We also provide techniques for various flexible ureterorenoscopic procedures including management of renal stones, calyceal diverticula and upper tract urothelial tumours.

摘要

随着技术的进步、内窥镜及辅助设备的改进,使用软性输尿管肾镜可以开展更复杂的手术。在这篇综述文章中,我们总结了软性输尿管肾镜手术,并针对每种手术类型提供了成功的“技巧和窍门”。本文探讨了软性输尿管肾镜手术中使用的一次性用品、为便于操作而进行的设备设置和患者体位摆放、输尿管肾镜的插入和操作以及尿道接入鞘的使用。我们还提供了各种软性输尿管肾镜手术的技术,包括肾结石、肾盏憩室和上尿路尿路上皮肿瘤的处理。

相似文献

1
Flexible ureterorenoscopy: Tips and tricks.可弯曲输尿管肾镜检查:技巧与窍门
Urol Ann. 2013 Jan;5(1):1-6. doi: 10.4103/0974-7796.106869.
2
Flexible ureteroscopy: technique, tips and tricks.软性输尿管镜检查术:技术、技巧与窍门。
Urolithiasis. 2018 Feb;46(1):47-58. doi: 10.1007/s00240-017-1030-x. Epub 2017 Dec 8.
3
The cost analysis of flexible ureteroscopic lithotripsy in 302 cases.302例输尿管软镜碎石术的成本分析
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Flexible Ureterorenoscopy Management of Calyceal Diverticular Calculi.柔性输尿管肾镜治疗肾盏憩室结石
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Ultramini nephrostomy tract combined with flexible ureterorenoscopy for the treatment of multiple renal calculi in paediatric patients.超微型肾造瘘通道联合软性输尿管肾镜治疗小儿多发性肾结石
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Retrograde flexible ureterorenoscopic holmium-YAG laser lithotripsy: the new gold standard.逆行可弯曲输尿管软镜钬激光碎石术:新的金标准。
Tech Urol. 1998 Mar;4(1):22-4.
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Flexible ureterorenoscopy and holmium laser lithotripsy for the management of renal stone burdens that measure 2 to 3 cm: a multi-institutional experience.经皮肾镜取石术与钬激光碎石术治疗 2-3cm 肾结石:多中心经验。
J Endourol. 2010 Oct;24(10):1583-8. doi: 10.1089/end.2009.0629.
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[Management of calyceal diverticular calculi with stenotic infundibulum by flexible ureteroscopic holmium laser infundibulectomy and lithotripsy].[经输尿管软镜钬激光切开狭窄肾盂漏斗部并碎石术治疗肾盂憩室结石合并肾盂漏斗部狭窄]
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[Flexible ureterorenoscopy and laser lithotripsy for upper urinary tract stones in neurologic patients with severe motor disability].[柔性输尿管肾镜及激光碎石术治疗重度运动功能障碍神经疾病患者的上尿路结石]
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Redefining the limits of flexible ureterorenoscopy.重新定义软性输尿管镜检查的极限。
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Urolithiasis. 2025 May 14;53(1):89. doi: 10.1007/s00240-025-01763-8.
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Is ureteroscopy and active stone treatment safe and effective in octogenarians? A review of current literature.输尿管镜检查及积极的结石治疗在八旬老人中是否安全有效?当前文献综述。
Arab J Urol. 2024 Feb 19;22(3):171-178. doi: 10.1080/20905998.2024.2320028. eCollection 2024.
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Illumination matters Part III: Impact of light obstruction on illuminance from flexible ureteroscopes - a comparative PEARLS analysis.照明问题第三部分:导光光纤光阻对软性输尿管镜照度的影响——一项比较性 PEARLS 分析
World J Urol. 2024 Mar 23;42(1):188. doi: 10.1007/s00345-024-04910-9.
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World J Nephrol. 2023 Sep 25;12(4):104-111. doi: 10.5527/wjn.v12.i4.104.
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Instrumental dead space and proximal working channel connector design in flexible ureteroscopy: a new concept.软性输尿管镜检查中的器械死腔与近端工作通道连接器设计:一种新概念
Ther Adv Urol. 2023 Jun 24;15:17562872231179332. doi: 10.1177/17562872231179332. eCollection 2023 Jan-Dec.
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Oxf Med Case Reports. 2022 Dec 23;2022(12):omac132. doi: 10.1093/omcr/omac132. eCollection 2022 Dec.
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The effect of preoperative ureteral stenting in retrograde Intrarenal surgery: a multicenter, propensity score-matched study.术前输尿管支架置入在逆行肾内手术中的效果:一项多中心、倾向评分匹配研究。
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本文引用的文献

1
Flexible ureterorenoscopy with holmium laser in horseshoe kidneys.马蹄肾中钬激光输尿管软镜术。
Urology. 2010 Dec;76(6):1334-7. doi: 10.1016/j.urology.2010.02.072. Epub 2010 Jun 22.
2
Efficacy of flexible ureterorenoscopy with holmium laser in the management of stone-bearing caliceal diverticula.钬激光输尿管软镜治疗含结石的肾盂憩室的疗效。
J Endourol. 2010 Jun;24(6):961-7. doi: 10.1089/end.2009.0437.
3
Oncologic control obtained after exclusive flexible ureteroscopic management of upper urinary tract urothelial cell carcinoma.单纯软性输尿管镜处理上尿路尿路上皮癌的肿瘤控制效果。
World J Urol. 2010 Apr;28(2):151-6. doi: 10.1007/s00345-009-0494-x. Epub 2010 Jan 1.
4
[Flexible ureteroscopy with Holmium laser: technical aspects].
Prog Urol. 2008 Dec;18(12):929-37. doi: 10.1016/j.purol.2008.09.034. Epub 2008 Oct 22.
5
Retrograde ureteroscopic holmium laser endopyelotomy in a selected population of patients with ureteropelvic junction obstruction.在特定人群的输尿管肾盂连接部梗阻患者中进行逆行输尿管镜钬激光肾盂内切开术。
Scand J Urol Nephrol. 2009;43(1):68-72. doi: 10.1080/00365590802473164.
6
Flexible ureterorenoscopic management of lower-pole stone: does the scope make the difference?下极结石的软性输尿管肾镜治疗:器械会产生影响吗?
J Endourol. 2008 Sep;22(9):1847-50; discussion 1855. doi: 10.1089/end.2008.9792.
7
Evidence-based instrumentation for flexible ureteroscopy: a review.基于证据的软性输尿管镜检查器械:综述
J Endourol. 2008 Jul;22(7):1423-6. doi: 10.1089/end.2007.0327.
8
Flexible ureteroscopy and laser lithotripsy for multiple unilateral intrarenal stones.输尿管软镜联合激光碎石术治疗多发性单侧肾内结石
Eur Urol. 2009 May;55(5):1190-6. doi: 10.1016/j.eururo.2008.06.019. Epub 2008 Jun 13.
9
Advances in ureterorenoscopy.输尿管肾镜检查的进展
Urol Clin North Am. 2007 Aug;34(3):397-408. doi: 10.1016/j.ucl.2007.05.003.
10
Percutaneous treatment of large upper tract stones after urinary diversion.尿流改道后大型上尿路结石的经皮治疗
Urology. 2006 Sep;68(3):500-4. doi: 10.1016/j.urology.2006.03.065. Epub 2006 Sep 18.