■输尿管软镜(fURS)已成为一种广泛接受且有效的治疗肾结石的技术。随着新型激光系统的发展,fURS方法已经有了很大的发展。这篇文献综述旨在研究fURS治疗肾结石的知识现状。特别关注最新激光技术对临床结果和患者安全的影响。
■我们对PubMed/PMC进行了搜索,WebofScience核心合集,Scopus,Embase(Ovid),和Cochrane数据库,用于2023年9月无时间限制的所有激光碎石随机对照试验文章。
■我们共找到22篇相关文献。钬激光用于腔内激光碎石已有近30年的历史,已成为治疗泌尿系结石的金标准。然而,现有的钬激光不能完全粉化石头,激光发射后结石的逆行和对组织的热损伤给临床医生带来了许多问题。通过激光创新技术,引入了hulium光纤激光和Moses技术,带来了高效的除尘碎石效果,限制脉冲能量和展宽脉冲频率。
■虽然钬:钇-铝-石榴石激光仍然是内窥镜激光碎石术的主要选择,最近的技术进步暗示了潜在的新金本位制。参数范围,逆行效应,激光光纤适应性,和整体系统性能要求全面关注。高脉冲频率装置的消融效果依赖于精确的靶向,这可能会带来实际挑战。
UNASSIGNED: Flexible ureteroscopy (fURS) has become a widely accepted and effective technique for treating kidney stones. With the development of new laser systems, the fURS approach has evolved significantly. This literature review aims to examine the current state of knowledge on fURS treatment of kidney stones, with a particular focus on the impact of the latest laser technologies on clinical outcomes and patient safety.
UNASSIGNED: We conducted a search of the PubMed/PMC, Web of Science Core Collection, Scopus, Embase (Ovid), and Cochrane Databases for all randomized controlled trial articles on laser lithotripsy in September 2023 without time restriction.
UNASSIGNED: We found a total of 22 relevant pieces of literature. Holmium laser has been used for intracavitary laser lithotripsy for nearly 30 years and has become the golden standard for the treatment of urinary stones. However, the existing holmium laser cannot completely powder the stone, and the retropulsion of the stone after the laser emission and the thermal damage to the tissue have caused many problems for clinicians. The introduction of thulium fiber laser and Moses technology brings highly efficient dusting lithotripsy effect through laser innovation, limiting pulse energy and broadening pulse frequency.
UNASSIGNED: While the holmium:yttrium-aluminum-garnet laser remains the primary choice for endoscopic laser lithotripsy, recent technological advancements hint at a potential new gold standard. Parameter range, retropulsion effect, laser fiber adaptability, and overall system performance demand comprehensive attention. The ablation efficacy of high-pulse-frequency devices relies on precise targeting, which may pose practical challenges.