输尿管镜检查中输尿管鞘放置相关的争议。
Controversies associated with ureteral access sheath placement during ureteroscopy.
机构信息
Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
出版信息
Investig Clin Urol. 2020 Sep;61(5):455-463. doi: 10.4111/icu.20200278.
Abstract
The use of ureteral access sheaths (UAS) is common practice during routine flexible ureteroscopy procedures. However, debates and concerns continue amongst endourologists on routine UAS placement. UAS placement allows for multiple passages of the ureteroscope, decreases intrarenal pressure, and may improve stone-free rates. However, concerns for the UAS's effectiveness in these claimed benefits and complications related to UAS placement has been documented and investigated by many. In this review, we will discuss the controversies surrounding the placement of UAS during ureteroscopy.
摘要
输尿管导引鞘（UAS）的使用在常规软性输尿管镜检查中较为常见。然而，在腔内泌尿外科医生中，对于常规 UAS 放置仍存在争议和担忧。UAS 的放置可实现输尿管镜的多次通过，降低肾内压，并可能提高结石清除率。然而，UAS 在这些声称的益处中的有效性以及与 UAS 放置相关的并发症已被许多人记录和研究。在本综述中，我们将讨论在输尿管镜检查中放置 UAS 所存在的争议。
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