CAJ | 학술논문

随着输尿管软镜及钬激光技术的发展与进步，越来越多的泌尿外科医生倾向于选择输尿管软镜术处理上尿路结石，其具有微创、高效、可重复操作、患者术后恢复快及住院时间短等优点。输尿管软镜联合钬激光术能对开放性／腹腔镜下切开取石、体外冲击波碎石、经皮肾镜碎石及输尿管硬镜术等传统手术处理较棘手的马蹄肾、移植肾、肾盏憩室、肾盏颈狭窄、髓质海绵肾、肾盂输尿管交接部狭窄合并的上尿路结石进行精准治疗，并取得了良好效果。
수착수뇨관연경급화격광기술적발전여진보，월래월다적비뇨외과의생경향우선택수뇨관연경술처리상뇨로결석，기구유미창、고효、가중복조작、환자술후회복쾌급주원시간단등우점。수뇨관연경연합화격광술능대개방성／복강경하절개취석、체외충격파쇄석、경피신경쇄석급수뇨관경경술등전통수술처리교극수적마제신、이식신、신잔게실、신잔경협착、수질해면신、신우수뇨관교접부협착합병적상뇨로결석진행정준치료，병취득료량호효과。
ABSTRACT:With the development and advancement of flexible ureteroscopy and holmium laser ,more and more urologists choose flexible ureteroscopy technique to treat upper urinary tract stones .Comparing with the traditional technique‐open/lapa‐roscopic lithotomy ,extracorporeal shock wave ,percutaneous nephroscope or rigid ureteroscopic lithotripsy ,flexible ureteros‐copy lithotripsy with holmium laser is able to safely and efficaciously treat upper urinary tract urolithiasis with special anatomy , such as stones with horseshoe kidneys ,urinary tract duplication ,calyceal diverticulum ,infundibular stenosis ,medullary sponge kidney ,and ureteropelvic junction stricture .