摘要
近年尿路结石的发病率在过去的时间里不断上升,治疗方式也在不断迭代更新.当下微创治疗已成为一种趋势,主要包括体外冲击波碎石术、输尿管支架管置人术、输尿管镜碎石取石术等.非对比CT(NCCT)作为临床上外科疾病常用的无创诊断技术,对识别尿路结石具有高特异度和灵敏度.除明确诊断外,目前利用测量输尿管壁厚度(UWT)预测输尿管结石治疗方案的匹配程度及其预后情况备受关注.现有研究提示UWT对输尿管结石嵌顿及治疗方案的疗效具有预测意义,但大部分局限于UWT对单一治疗方式的预测.笔者结合近年UWT相关研究进行综述,为输尿管结石嵌顿预测及临床治疗方案的选择提供参考.
Abstract
Recently,the incidence of ureteral calculi has been increased,and the treatment methods have been constantly updated.Nowadays,minimally invasive treatment has become a trend,mainly including extracorporeal shockwave lithotripsy(ESWL),ureteroscopic lithotripsy(URL),percutaneous nephrolithotripsis(PCNL)and laparoscopic lithotripsis.Noncontrast computed tomography(NCCT),as a common noninvasive diagnostic technique for clinical surgical diseases,has high specificity and sensitivity for the identification of ureteral calculi.In addition to definite diagnosis,the use of ureteral wall thickness(UWT)measurement to predict the matching degree of ureteral calculi treatment and prognosis has received widespread attention.Existing literature has suggested that UWT can predict the efficacy of ureteral stone incarceration and treatment plan.However,most studies are limited to the prediction of single treatment mode by UWT.In this article,literature review related to UWT was performed,aiming to provide reference for the prediction of ureteral stone incarceration and the selection of clinical treatment regimen.
基金项目
深圳市龙岗区科技创新专项医疗卫生技术攻关项目(LGKCYLWS2022037)
国家科技期刊平台
NSTL
维普
万方数据