摘要
泌尿系统的肾结石是泌尿系统最常见的疾病,目前经皮肾镜取石术是治疗复杂性肾结石的主要方法和有效手段之一,其中精准穿刺及安全的通道扩张是决定手术能否成功的关键步骤之一,尤其是无积水的肾结石患者,其肾皮质相对较厚且血管较为丰富,目标肾盏的操作空间有限,术中穿刺难度较大,穿刺及扩张过程中容易出血及丢失通路,增加了手术难度,本文就目前无积水结石中经皮肾镜取石术中皮肾通道的建立现状进行予以综述。
Urolithiasis is a common disease of the urinary system,and percutaneous nephrolithotomy(PCNL)is one of the main and effective methods for the treatment of complex renal calculi.Accurate puncture and safe tract dilation are the key steps that determine the success of the operation,especially for patients with stones without hydronephrosis,in whom the renal cortex is relatively thick,the blood vessels are abundant,and the operation space of the target renal calyx is limited.These make the intraoperative puncture difficult and tend to lead to bleeding and tract loss during the puncture and dilation process,which increases the difficulty of the operation.This article reviews the current status of the establishment of percutaneous renal tract for PCNL in patients with renal stones without hydronephrosis.
作者
张曦才
曹先德
Zhang Xicai;Cao Xiande(Miyun Hospital of Peking University First Hospital,Beijing 101500,China;Department of Urology,Shandong University of Traditional Chinese Medicine Affiliated Hospital,Jinan 250014,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2023年第8期911-915,共5页
Chinese Journal of Clinicians(Electronic Edition)
基金
山东省卫健委面上项目(20210405041)
济宁市科技局面上项目(2021YXNS009)
济宁医学院培育项目(JYGC2021FKJ008)
关键词
泌尿系结石
经皮肾镜取石术
无积水肾结石
穿刺方式
皮肾通道
Urolithiasis
Percutaneous nephrolithotomy
Renal stones without hydronephrosis
Puncture technique
Percutaneous renal tract
作者简介
通信作者:曹先德,Email:xiande9@126.com
