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摘要: 从传统的药物、开放手术,到现在体外冲击波碎石、输尿管硬镜、输尿管软镜、经皮肾镜等微创技术的发展,上尿路结石的治疗已经进入微创时代。在微创时代下,如何提高清石效率、减少术后并发症的发生、减轻患者的痛苦,一直是困扰泌尿外科医生的难题。近年来,我国泌尿外科专业团队通过对输尿管硬镜进行创新改进,发明了硕通镜这一新兴技术设备,它的出现弥补了传统逆行输尿管镜“只碎不排”的弊端。本文将从硕通镜的设备介绍及手术方法、特点和优势、不足、操作经验、与其他手术方式的比较及对特殊类型结石的治疗等方面进行综述,以让更多学者了解硕通镜。Abstract: From traditional medicine and open surgery to the development of minimally invasive techniques such as extracorporeal shock wave lithotripsy, ureteroscope, flexible ureteroscope, percutaneous nephrolithotomy, the treatment of upper urinary calculi has entered the minimally invasive era. In the minimally invasive era, how to improve stone free rate, reduce the occurrence of postoperative complications, reduce the pain of patients, has been a difficult problem to trouble urologists. In recent years, through the innovation and improvement of ureteroscope, the professional team of urology in China has invented a new technological equipment, namely, Shuo Tong ureteroscopy, which makes up for the disadvantages of the traditional retrograde ureteroscope, just lithotripsy not elimination. In this paper, the equipment introduction and surgical methods, features and advantages, disadvantages, operation experience, comparison with other surgical methods and treatment of special types of stones will be summarized, so as to let more scholars know about Shuo Tong ureteroscopy.
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