软性输尿管镜检查：治疗尿石症的技术进展、当前适应症及治疗结果
Flexible ureteroscopy: Technological advancements, current indications and outcomes in the treatment of urolithiasis.
作者信息
Alenezi Husain, Denstedt John D
机构信息
Division of Urology, Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
出版信息
Asian J Urol. 2015 Jul;2(3):133-141. doi: 10.1016/j.ajur.2015.06.002. Epub 2015 Jun 23.
Abstract
The last 3 decades have witnessed great improvements in the technology and clinical applications of many minimally invasive procedures in the urological field. Flexible ureteroscopy (fURS) has advanced considerably to become a widely utilized diagnostic and therapeutic tool for multiple upper urinary tract pathologies. The most common indication for fURS is the treatment of upper urinary tract stones with the aid of Holmium:Yttrium Aluminium Garnet (YAG) laser lithotripsy. Advancements in endoscope technologies and operative techniques have lead to a broader application of fURS in the management of urolithiasis to include larger and more complex stones. fURS has proved to be an effective and safe procedure with few contraindications. Continued progression in fURS may increase its clinical applicability and supplant other procedures as the first line treatment option for urolithiasis.
摘要
过去三十年见证了泌尿外科领域许多微创手术的技术和临床应用取得了巨大进步。可弯曲输尿管镜检查（fURS）已取得了长足进展，成为用于多种上尿路疾病的广泛使用的诊断和治疗工具。fURS 最常见的适应症是借助钬：钇铝石榴石（YAG）激光碎石术治疗上尿路结石。内窥镜技术和手术技术的进步使得 fURS 在尿路结石管理中的应用范围更广，包括更大、更复杂的结石。事实证明，fURS 是一种有效且安全的手术，禁忌症很少。fURS 的持续发展可能会增加其临床适用性，并取代其他手术成为尿路结石的一线治疗选择。
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