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Reply by Authors: At present ureteroscopic lithotripsy is frequently used in the management of ureteral stones with a high rate of success. Many urologists are inclined to place a ureteral stent after ureteroscopic lithotripsy to assist in the passage of residual stone fragments and to reduce postoperative ureteral obstruction. However, the question about stent positioning after ureteroscopy for urinary calculi is still open. More and more randomized clinical trials suggest that placement of a ureteral stent after uncomplicated ureteroscopic lithotripsy is unnecessary. Uncomplicated ureteroscopic lithotripsy should be denned as that with minimal or no ureteral trauma, minimal or no ureteral dilation and minimal or no residual stone burden.
机译:作者的答复:目前,输尿管镜碎石术常用于输尿管结石的治疗,成功率很高。许多泌尿科医师倾向于在输尿管镜碎石术之后放置输尿管支架,以帮助残余结石碎片通过并减少术后输尿管阻塞。但是,关于输尿管结石的输尿管镜检查后支架定位的问题仍然存在。越来越多的随机临床试验表明,在无并发症的输尿管镜碎石术后放置输尿管支架是不必要的。不应将输尿管镜碎石术简单化,因为输尿管外伤最少或没有,输尿管扩张最少或没有,残余结石负担最少或没有。

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