天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (7): 822-826.doi: 10.11958/j.issn.0253-9896.2015.07.033

• 综述 • 上一篇    下一篇

输尿管镜碎石术中防止结石移位策略的研究进展

李丽， 徐勇， 齐士勇   

  1. 天津医科大学第二医院泌尿外科
  • 收稿日期:2014-11-28 修回日期:2015-03-30 出版日期:2015-07-15 发布日期:2015-07-15
  • 通讯作者: 齐士勇 △ E-mail:yongshiqi@163.com
  • 基金资助:
    天津市应用基础及前沿技术研究计划

Research progress in strategy of preventing stone retropulsion during ureteroscopic lithotripsy

LI Li, XU Yong, QI Shiyong   

  1. Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin

  • Received:2014-11-28 Revised:2015-03-30 Published:2015-07-15 Online:2015-07-15
  • Contact: QI Shiyong△ E-mail:yongshiqi@163.com

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摘要： 输尿管镜碎石术（ureteroscopic lithotripsy, URSL）是治疗输尿管结石的重要方法，尤其是近些年腔内碎石技术和相关设备的进步，使得这项技术正日益得到普及。然而，许多因素限制了URSL的成功率，其中一个常见的问题就是结石及其碎片向近端输尿管甚至肾盂内移位。鉴于此，许多新的辅助装置及技术被应用于输尿管镜碎石术中来解决结石移位的问题。现在可用的装置和技术分为两类：基于机械形式的装置和基于凝胶的技术，前者又可分为基于线性材料和基于球囊的装置。本文通过复习文献将目前URSL过程中防止结石移位的策略做一综述。

关键词: 输尿管结石, 输尿管镜检查, 碎石术, 综述, 结石移位

Abstract: Abstract: Stone retropulsion during ureteroscopic lithotripsy is a common troublesome problem for most urologists. Stone retropulsion can result in increase in health care cost and increased operative time. With the popularisation of ureteros⁃copy, additional procedures to treat residual migrated fragments has drawn more and more attention and research. In recent years, many equipment, devices and techniques are designed to resolve this big puzzle. We reviewed the literatures to sum⁃mary the strategy for preventing stone retropulsion during ureteroscopic lithotripsy.

Key words: ureteral calculi, ureteroscopy, lithotripsy, review, stone retropulsion