医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
12期
2238-2240
,共3页
李冠奕%黄星华(综述)%周建华(审校)
李冠奕%黃星華(綜述)%週建華(審校)
리관혁%황성화(종술)%주건화(심교)
上尿路疾病%输尿管镜术%微创技术
上尿路疾病%輸尿管鏡術%微創技術
상뇨로질병%수뇨관경술%미창기술
Upper urinary diseases%Ureteroscopy%Endoscopic technology
近年来,随着泌尿外科腔镜技术的不断成熟与发展,腔镜技术以治疗的安全有效性,并且提高了患者术中的舒适度、微创和术后较短的康复住院时间,大大降低了住院成本等优势,已经逐渐替代了传统的开放手术治疗。而输尿管镜术更是泌尿系内腔镜技术上的重要发展,改变了长期以来一直认为输尿管及以上部位难于进行直观检查及输尿管与肾脏疾病必须行开放手术进行治疗的传统概念。现就近年来输尿管镜术运用于上尿路的结石、上尿路肿瘤诊治及其他非结石病的治疗进展予以综述。
近年來,隨著泌尿外科腔鏡技術的不斷成熟與髮展,腔鏡技術以治療的安全有效性,併且提高瞭患者術中的舒適度、微創和術後較短的康複住院時間,大大降低瞭住院成本等優勢,已經逐漸替代瞭傳統的開放手術治療。而輸尿管鏡術更是泌尿繫內腔鏡技術上的重要髮展,改變瞭長期以來一直認為輸尿管及以上部位難于進行直觀檢查及輸尿管與腎髒疾病必鬚行開放手術進行治療的傳統概唸。現就近年來輸尿管鏡術運用于上尿路的結石、上尿路腫瘤診治及其他非結石病的治療進展予以綜述。
근년래,수착비뇨외과강경기술적불단성숙여발전,강경기술이치료적안전유효성,병차제고료환자술중적서괄도、미창화술후교단적강복주원시간,대대강저료주원성본등우세,이경축점체대료전통적개방수술치료。이수뇨관경술경시비뇨계내강경기술상적중요발전,개변료장기이래일직인위수뇨관급이상부위난우진행직관검사급수뇨관여신장질병필수행개방수술진행치료적전통개념。현취근년래수뇨관경술운용우상뇨로적결석、상뇨로종류진치급기타비결석병적치료진전여이종술。
In recent years,as endoscopic technology in urology develops,it has replaced conventional open surgery due to its advantages of high safety and efficacy,enhanced intraoperative comfort level for the patients,shorter duration of hospital stay after minimally invasive and other surgeries,lower cost of hospitali-zation,etc..And ureteroscopy is an important development of urologic endoscopic technology,it has changed the traditional view that it is difficult to apply visual inspection to the ureter and the upper sites and open sur-gery must be performed to treat ureter and kidney diseases.Here is to make a review of the recent progress on ureteroscopy in the treatment for upper urinary tract stones,and diagnosis of upper urinary tract tumors and other non-gallstone diseases.