Ziemba Justin B, Matlaga Brian R
Brady Urological Institute, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD, USA -
Minerva Urol Nefrol. 2016 Dec;68(6):586-591. Epub 2016 Jul 1.
Ureteroscopy (URS) is the first line treatment for the majority of symptomatic renal and ureteral stones. This review summarizes the current literature on the costs associated with URS. A high initial investment is required for scope acquisition. Once purchased, maintenance and repair costs continue to accrue. Durability of the scopes is an important consideration as more durable scopes will remain functional for longer and thus have lower overall repair costs. Currently available, newer generation scopes appear highly durable compared to their predecessors. Ancillary equipment, mostly disposable items represent the highest per procedure cost of URS. Despite these costs, URS remains highly profitable. However, it is also efficacious demonstrating superior cost-effectiveness with higher stone free rates at a lower cost relative to shock wave lithotripsy.
输尿管镜检查（URS）是大多数有症状的肾和输尿管结石的一线治疗方法。本综述总结了目前关于URS相关成本的文献。购置设备需要高额的初始投资。一旦购买，维护和维修成本会持续产生。设备的耐用性是一个重要考虑因素，因为更耐用的设备将在更长时间内保持功能，从而降低总体维修成本。与前代产品相比，目前可用的新一代设备似乎具有很高的耐用性。辅助设备，主要是一次性物品，是URS每次手术成本中最高的部分。尽管有这些成本，URS仍然具有很高的盈利能力。然而，它也是有效的，相对于冲击波碎石术，以更低的成本实现更高的结石清除率，显示出卓越的成本效益。
