Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological Diseases, Lanzhou University, Gansu Nephro-Urological Clinical Center, Lanzhou, 730030, Gansu, China.
Urolithiasis. 2018 Jun;46(3):223-229. doi: 10.1007/s00240-017-0988-8. Epub 2017 Jun 7.
With an increased risk of symptomatic events, the complications related to residual fragments are complex and intractable. The management of stone fragments is a challenge to urologists. This review focused on the progress, status, and needs of the newly developed physical therapies to remove fragments and improve the stone-free rate. Physical therapies, including mechanical percussion, diuresis, and inversion therapy, ultrasonic propulsion technology, glue-clot technology, and magnetization technology, will facilitate progress in endoscopic stone fragment retrieval.
随着症状性事件风险的增加,与残留碎片相关的并发症较为复杂和棘手。结石碎片的处理是泌尿科医生面临的一项挑战。本综述重点介绍了新开发的物理疗法在去除结石碎片和提高无石率方面的进展、现状和需求。物理疗法,包括机械敲击、利尿和倒位疗法、超声推进技术、胶凝技术和磁化技术,将有助于腔内取石碎片的进步。