摘要
经皮肾镜取石术(PCNL)是通过超声或X线定位经皮穿刺至肾脏扩张后建立操作通道,击碎并取出结石,目前已完全取代开放手术,成为治疗肾及输尿管上段结石的一线选择方法,由于其具有创伤小、术后恢复快、治疗效果与开放手术相当,甚至优于开放手术等优点,同时也是较大的复杂肾结石一线治疗方案,伴随着影像学的进步、碎石仪器的迅猛发展和腔内技术的提高,人们对结石的治疗观点有了新的拓展和认识,对这种手术方式提出新的要求以适应患者的需求,如何更加微创化,更能减少患者的痛苦及对患者的肾脏损伤最小成为目前泌尿外科工作人员研究的热点,现将近年来经皮肾镜取石术研究进展综述如下。
Percutaneous nephrolithotomy （PCNL） has completely replaced open operation and to be the first line of treatment renal and upper ureteral calculi through B ultrasound or X-ray locating percutaneous puncture to renal expansion and remove stones, because of its small trauma, postoperative recovery quickly, treatment effect with the open operation, or even superior to open operation, it’s also the first line of treatment for more complex renal calculi. With the rapid development of imaging progress, instrument and endovascular technology improvement, the views of stone treatment has new development and understanding of this operation. How to be minimally invasive, and help reduce the pain of patients and the minimum trauma has been a hot research for department of Urology staff to adapt to the needs of patients.
出处
《中华临床医师杂志（电子版）》
CAS
2015年第1期127-131,共5页
Chinese Journal of Clinicians(Electronic Edition)
关键词
肾造口术
经皮
尿路结石
Nephrostomy,percutaneous
Urinary calculi
