输尿管软镜治疗上尿路结石的研究进展

Research progress of flexible ureteroscopy in the treatment of upper urinary tract calculi

随着近几年输尿管软镜及其辅助设备的不断创新改进,临床上对于输尿管软镜的应用也越来越广泛。从以往常见的逆行输尿管腔内碎石取石,到现在应用于输尿管腔内肿瘤消融、输尿管狭窄镜下切开、肾盂旁囊肿切开内引流等。输尿管软镜经人体自然腔道进入体内,充分实现微创下的检查和治疗,现临床上应用较多的电子输尿管软镜更是以其术野成像清晰、偏转柔韧性好、兼有工作通道等优点,在上尿路结石的治疗中独占优势。而且,随着一次性电子输尿管软镜和机器人辅助输尿管软镜系统的开发应用,更是进一步推动了输尿管软镜手术的安全和快速发展。

With the continuous innovation and improvement of flexible ureteroscope and its auxiliary equipment in recent years,flexible ureteroscope is more and more widely used in clinic.It has been commonly used for the treatment of upper urinary tract calculi in the past,and now it is also used for ablation of ureteral tumors,incision of ureterostenosis,incision and internal drainage of parapelvic cyst,and so on.Flexible ureteroscope enters the body through the natural cavity to fully realize minimally invasive examination and treatment.At present,the electronic flexible ureteroscope,which is widely used in clinic,has the advantages of clear imaging of surgery field,good flexibility of deflection,and with working channel,thereby has a unique advantage in the treatment of upper urinary tract calculi.Moreover,with the development and application of disposable electronic flexible ureteroscope and robot-assisted flexible ureteroscope system,the safe and rapid development of flexible ureteroscopic surgery is further promoted.