Ho Adrian, Sarmah Piyush, Bres-Niewada Ewa, Somani Bhaskar K
University Hospital Southampton NHS Trust, United Kingdom.
Royal United Hospital, Bath, United Kingdom.
Cent European J Urol. 2017 Jun 30;70(2):175-178. doi: 10.5173/ceju.2017.1343. Epub 2017 Jun 11.
The prevalence of urolithiasis is increasing worldwide and is causing significant morbidity and cost to the healthcare systems. While ureteroscopy (URS) has been established as a treatment option, our review highlights the expanding role of URS for the management of more complex stones and patients in the modern era.
Ureteroscopy has shown to have good outcomes with stone free rates (SFR) comparable to other treatment modalities. Relevant publications have been identified. Their findings were critically appraised and used to formulate clinically oriented conclusions.
The use of URS has increased and now includes URS management for large stones, bilateral stone disease, obesity, pregnancy, pediatrics, solitary kidney, horseshoe kidney and patients with a bleeding diathesis.
With advances in URS technique and technology, its role has expanded to offer treatment in difficult clinical scenarios with good outcomes.
全球范围内尿石症的患病率正在上升，给医疗系统带来了显著的发病率和成本。虽然输尿管镜检查（URS）已成为一种治疗选择，但我们的综述强调了在现代，URS在管理更复杂结石和患者方面的作用不断扩大。
输尿管镜检查已显示出良好的效果，结石清除率（SFR）与其他治疗方式相当。已确定相关出版物。对其研究结果进行了严格评估，并用于得出以临床为导向的结论。
URS的使用有所增加，现在包括对大结石、双侧结石病、肥胖、妊娠、儿科、孤立肾、马蹄肾和有出血倾向患者的URS管理。
随着URS技术和工艺的进步，其作用已扩大到在困难的临床情况下提供治疗，并取得良好效果。
