经尿道治疗下尿路结石现状与进展  

Status and progress of transurethral approach for lower urinary tract calculi

作　　者：贾其磊[1,2] 王坤杰[3] 

机构地区：[1]攀枝花市第二人民医院泌尿外科,四川攀枝花617068 [2]成都市青白江区人民医院泌尿外科 [3]四川大学华西医院泌尿外科

出　　处：《临床泌尿外科杂志》2014年第7期648-652,共5页Journal of Clinical Urology

摘　　要：膀胱结石发病率约占整个泌尿系结石的5%,随着腔内器械和碎石设备不断改进,绝大多数膀胱结石可通过内镜下处理。钬激光的出现使直径>4cm的结石碎石成功率有了较大提高。超声气压弹道碎石比钬激光更高效,操作时间更短,损伤更小,出血更少。碎石通道也不乏创新之处,如AH-1取石系统、JQL鞘等。本文就经尿道治疗下尿路结石的现状与进展做一综述。Bladder calculi account for 5%of urinary calculi.With the development of laparoscopic instruments and gravel equipment,the vast majority of bladder stones can be handled through endoscopic approach.After holmium laser appeared,the success rate of lithotripsy for bladder stones larger than 4cm has been greatly promoted.Pneumatic and ultrasonic lithotripsy is more effective than the holmium laser with some advantages of shorter operation time,less injury,and less bleeding.Many other new approaches appear,such as Aihua（AH）-1stone removal system,JQL sheath,etc.The current status and progress of transurethral approach for lower urinary calculi will be reviewed in this paper.

关 键 词：下尿路 结石 治疗 

分 类 号：R691.4[医药卫生—泌尿科学]