Miller K
Urologischen Universitätsklinik Ulm, Deutschland.
Wien Med Wochenschr. 1995;145(11-12):274-6.
Approximately 10% of all stone patients require an endoscopic stone treatment. With the advent of laserlithotripters a new technology became available, featuring extremely thin (200 microns) and flexible lithotripsy probes. As a consequence, miniscopes have been developed for endoscopic stone manipulation in the ureter. These miniscopes greatly facilitate ureteroscopy and expectantly will reduce complications associated with this procedure. The success rates of laserlithotripsy are in the 90% range, the only serious drawback are the high purchase costs of the laser. Independent from these new possibilities for intracorporeal lithotripsy, extracorporeal shockwave lithotripsy (ESWL) remains the first therapy of choice for ureteral calculi.
所有结石患者中约10%需要进行内镜下结石治疗。随着激光碎石机的出现，一种新技术应运而生，其特点是具有极细（200微米）且可弯曲的碎石探针。因此，已开发出用于输尿管内镜下结石操作的微型内镜。这些微型内镜极大地便利了输尿管镜检查，并有望减少与此手术相关的并发症。激光碎石术的成功率在90%左右，唯一严重的缺点是激光的购置成本高昂。独立于这些体内碎石的新可能性之外，体外冲击波碎石术（ESWL）仍然是输尿管结石的首选治疗方法。
