摘要传统的排石方法包括增加饮水、适度运动、溶石疗法以及口服药物等.这些方法主要通过大量饮水增加尿量、服用药物增加输尿管的蠕动频率和幅度,以及扩张输尿管等作用促进结石与尿路黏膜脱离,从而促进结石排出,因此被称为“被动排石”.近年来,体外物理振动排石系统逐渐受到泌尿外科学界关注.该系统利用简谐波,产生强大的推力促使结石沿着泌尿系统的天然通道活动,使结石主动排出.这种全新的理念,我们称之为“主动排石”.通过近5年的临床实践,主动排石已被证实为一种既安全又有效的排石方法.本文对上尿路结石排石治疗由被动排石到主动排石的方法进行综述,探讨“主动排石”这一治疗理念的变化给尿石症的治疗所带来的革新.

abstractsTraditional expulsive methods,such as a high fluid intaking,more physical activity and medical expulsive therapy,was aimed at increasing voiding volume,frequency and strength of ureter movement,dilating ureter to detach the stone from mucosa and facilitate the stone clearance.It is usually termed as "passive lithecbole".The external physical vibration lithecbole system has gradually attracted the urologist's attention in recent years.This system develops a simple harmonic to drive the stone explusion along the urinary tract,which was named this new concept as " active lithecbole".The clinic safety and efficacy of active lithecbole has been proved during recent 5 years.In this paper,we reviewed the treatment of upper urinary tract stone from passive lithecbole to active lithecbole,and discussed the innovation of this concept altering.