摘要
经皮肾镜碎石取石术(PCNL)是治疗复杂性肾结石的一线手段,可在多种体位下被实施。斜跨位是一种灵活便利、安全有效的体位,可在该单一体位下联合经皮肾镜与逆行入路手术,因此适用于治疗复杂性肾结石。本文回顾了斜跨位PCNL的诞生、特点与优势,及其在复杂性肾结石治疗上的应用,并以此为基础,进一步提出了上尿路结石整体微创治疗策略。
Percutaneous nephrolithotomy(PCNL)is the first-line treatment for complex kidney stones and can be performed in a variety of positions.Semi-supine combined lithotomy position,as a flexible,convenient,safe and effective position for PCNL,can be conducted in a retrograde approach under a single position,so it is suitable for the treatment of complex kidney stones.We will review the development characteristics and advantages of PCNL in semi-supine combined lithotomy position,and its application in the treatment of complex kidney stones.Based on this,we will further propose a minimally invasive treatment strategy for upper urinary tract calculi.
作者
许可慰
李卓航
吴至楷
XU Kewei;LI Zhuohang;WU Zhikai(Department of Urology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510000,China)
出处
《现代泌尿外科杂志》
CAS
2024年第6期477-480,491,共5页
Journal of Modern Urology
基金
广东省医学科学技术研究基金项目(No.A2022541)。
关键词
经皮肾镜碎石取石术
斜跨位
上尿路结石
复杂性肾结石
percutaneous nephrolithotomy
semi-supine combined lithotomy position
upper urinary tract calculi
complex kidney stones