上尿路结石治疗现状报告及未来发展趋势

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
李福来,范顺成,孙 峰
文章摘要
上尿路结石的治疗在过去几十年中取得了显著进展,微创治疗已成为临床治疗的主要手段。通过多种微创技术的合理应用,患者术后恢复更快、住院时间更短、并发症更少。然而,面对复杂性结石处理困难、术后并发症管理及资源分布不均等问题,仍需不断探索新技术、新方法。未来,随着新型激光技术、人工智能辅助系统及远程医疗的发展,上尿路结石的微创治疗将朝着更加安全、高效、精准和普及的方向迈进,为广大患者带来更好的治疗体验和预后。
文章关键词
泌尿系结石;上尿路结石;体外冲击波碎石;后腹腔镜下输尿管切开取石术
参考文献
[1] SOROKIN I,MAMOULAKIS C,MIYAZAWA K,et al.Epidemiology of stone disease across the world[J].World journal of urology, 2017,35(1301-20. [2] YE Z,ZENG G,YANG H,et al.The status and characteristics of urinary stone composition in China[J].BJU international,2020,125(6):801-9. [3] QIAN X,WAN J,XU J,et al.Epidemiological Trends of Urolithiasis at the Global,Regional,and National Levels:A Population‐Based Study[J].International journal of clinical practice,2022,2022(1):6807203. [4] 吕建林,吴非,谷现恩.中国体外冲击波碎石术临床实践指南[J].泌尿外科杂志(电子版),2025,17(02):1-8. [5] 马立秋,况秋萍.体外冲击波碎石术治疗输尿管结石患者碎石失败的影响因素[J].中国民康医学,2024,36(14):4-6+10. [6] FEDOROWICZ S,SUŁAWA A,TARGOŃSKI O,et al.Exploring the Treatment Methods of Urolithiasis[J].Quality in Sport,2024,35(56275-. [7] YONGMING H,JIN K,XIN H,et al.Intelligent control of pressure based on ureteral access sheaths:renal pelvic pressure during flexible ureteroscope perfusion at different sites[J].Urolithiasis,2024,52(1):139. [8] LUO H,YUAN Y,SHI H,et al.Development of a novel percutaneous digital flexible nephroscope:its use and application[J].BMC urology,2024,24(1):153. [9] 顾燕青,郭宗保,唐新宇,et al.输尿管软镜联合可弯曲负压吸引鞘用于感染性肾结石取石术的倾向评分匹配分析[J].中国内镜杂志,2025,31(02):1-8. [10] ZHONG Y,XIE D,LUO C,et al.Clinical application of flexible ureteroscopic sheath with controllable intraluminal pressure in treating ureteral stones[J].Asian journal of urology,2023,10(2):166-71. [11] 杨林,史玉强,雷振涛,et al.Peel-away塑料薄膜鞘结合输尿管镜气压弹道碎石术治疗女性输尿管中下段复杂性结石的临床应用价值[J].微创泌尿外科杂志,2019,8(5):319-23. [12] 叶宗岳,林金生,曹石金,et al.内镜下肾内联合手术与多通道经皮肾镜术治疗复杂肾结石的前瞻性随机对照研究[J].中国现代手术学杂志,2020,24(3):218-23. [13] 刘柯柯,李静静,李贝贝,et al.经皮肾镜取石术联合输尿管软镜钬激光碎石术治疗复杂肾结石临床观察[J].河南医学高等专科学校学报,2025,37(02):181-4. [14] 晁婷婷,雷敏,刘焜.微通道经皮肾镜碎石取石术用于治疗肾结石的效果分析[J].中国医疗器械信息,2025,31(09):119-21. [15] METHODS IN MEDICINE C,MATHEMATICAL.Retracted:Comparison of the Effects of Laparoscopic Surgery and Traditional Open Surgery on Stone Clearance,Laboratory Indexes and Life Quality in Patients with Renal Calculi[M].Wiley Online Library.2023. [16] HUBOSKY S G,GRASSO III M,TRAXER O,et al.Advanced Ureteroscopy:A Practitioner's Guide to Treating Difficult Problems[M]. Springer Nature,2021. [17] HE M,DONG Y,CAI W,et al.Recent advances in the treatment of renal stones using flexible ureteroscopys[J].International Journal of Surgery,2024,110(7):4320-8.
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