软镜镜检术在上尿路来源血尿诊治中的地位和作用  

The role of flexible ureteroscopy in diagnosis and treatment of hematuria from upper urinary tract

作　　者：杨嗣星[1] 夏樾[1] 叶章群[2] Yang Sixing;Xia Yue;Ye Zhangqun(Department of Urology,Renmin Hospital of Wuhan University,Wuhan 430060,China;Department of Urology,Tongji Hospital,the Affiliated Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]武汉大学人民医院泌尿外科,430060 [2]华中科技大学同济医学院附属同济医院泌尿外科,武汉430030

出　　处：《中华泌尿外科杂志》2019年第9期641-644,共4页Chinese Journal of Urology

摘　　要：上尿路来源血尿病因复杂,可为良性病变亦可为恶性病变.随着软镜技术的普及与提高,特别是电子软镜及其辅助技术的革新与完善,软镜镜检术可为上尿路来源血尿的病因诊断提供“定位”和“定性”的依据.基于精准诊断的个体化治疗决策,软镜下激光消融术将逐渐成为一些上尿路来源血尿病例的治疗方法和趋势.The aetiology of hematuria from upper urinary tract is sophisticated including benign and malignant lesions. With comprehensive utilization and improvement of flexible ureteroscopy(fURS), especially innovation and elaboration of digital fURS with auxillary armaments, it may present qualitative as well as localized evidence for etiological diagnosis of hematuria from upper urinary tract. Based on the precise decision of individual strategy, flexible ureteroscopic laser ablation gradually turns to be a direction and trend of option in selected cases based. Flexible ureteroscopy plays a critical role in the diagnosis and treatment of hematuria from upper urinary tract.

关 键 词：输尿管镜检查 软性输尿管镜 血尿 上尿路 上尿路尿路上皮癌 

分 类 号：R699[医药卫生—泌尿科学]