Comprehensive Kidney Stone Center Duke University Medical Center Durham, North Carolina, USA.
Curr Opin Urol. 2014 Mar;24(2):173-8. doi: 10.1097/MOU.0000000000000032.
Stone migration during the treatment of ureteral stones can prove frustrating and increases both healthcare cost and patient morbidity. Antiretropulsion devices have been engineered to prevent stone migration.
Improvements in antiretropulsion devices allow for efficient prevention of stone migration during ureteroscopic lithotripsy with minimal adverse effects or complications. Multiple devices are now available each with advantages and disadvantages. New devices are currently engineered to prevent stone migration and maintain ureteral access. Antiretropulsion devices appear to be cost-effective to prevent stone migration during intracorporeal lithotripsy.
Antiretropulsion devices have been safely and effectively used during ureteroscopic procedures. These tools increase stone-free rates, decrease morbidity and new studies have demonstrated their cost-effectiveness.
输尿管结石治疗过程中结石迁移可能会令人沮丧,并增加医疗保健成本和患者发病率。反后向推送装置的设计目的是防止结石迁移。
反后向推送装置的改进使得输尿管镜碎石术中能够有效地预防结石迁移,同时最小化不良反应或并发症。现在有多种设备可供选择,每种设备都有其优缺点。新的设备目前正在设计中,以防止结石迁移并保持输尿管通道。反后向推送装置在体腔内碎石术期间预防结石迁移似乎具有成本效益。
在输尿管镜手术过程中,反后向推送装置已被安全有效地使用。这些工具提高了结石清除率,降低了发病率,新的研究已经证明了它们的成本效益。