摘要
输尿管软硬镜的配合使用来处理上尿路腔内的病变是现代泌尿外科的趋势和特点。输尿管软镜制作工艺的发展缩小了镜体的口径、增加了镜体的操控性和到达肾小盏的能力并显著延长了镜体的使用寿命。合适的输尿管通道鞘的使用增加了软镜手术的成功率并降低了并发症的发生率;钬激光的应用显著增加了输尿管软镜处理上尿路结石的能力并不断拓宽软镜的适应征。总体来说,输尿管软镜是一安全、并发症低的手术方法,随着术者的操作经验的积累,输尿管软镜术将在泌尿外科发挥更大的作用。
Using rigid ureterscope combined with flexible ureterscope to manage the lesions in the upper urinary tract is the trend and character of modern urology.The advances of technology miniaturized the sizes of flexible ureterscope.improved their maneuverability,enhanced their effectives and prolonged their lifespan.The development of ureteral access sheaths facilitates the access of flexible ureteroscope to the intrarenal collecting system and lowers the failure rate.The introduction of the holmium:YAG laser as an intraluminal lithotripsy device significantly improved the precision and effectiveness of ureteroscopic lithotripsy and widened their indication.Generally speaking,flexible ureteroscopy is a safe technique and with a lower complication rate.As the experience of operators accumulated,the role of flexible ureteroscopy in the treatement of upper urinary pathology should continue to grow.
出处
《微创泌尿外科杂志》
2013年第2期142-145,共4页
Journal of Minimally Invasive Urology
关键词
腔内泌尿外科
输尿管软镜
钬激光
endourology
flexible ureteroscopy
holmium:yag laser
