摘要
随着手术设备的更新以及经验的积累，经皮肾镜取石术日趋成熟，尽管也存在一些争议，但很多方面已基本达成了共识。俯卧位下X线定位穿刺，建立F18～F24通道，运用气压弹道、钬激光、超声碎石等工具综合清理结石构成经典的经皮肾镜取石术（PCNL），但微通道经皮肾镜取石术（ultra‐mini PCNL）、无管化经皮肾镜取石术（tubeless PCNL）等技术的发展也有一定的临床应用前景。不论如何，采用科学的态度，遵循基本操作原则，才能保证PCNL手术的安全有效。
With the renewal of equipment and increase of operation experience ,percutaneous nephrolithotomy （PCNL） has become more and more mature .Although there is still some controversy ,basic consensus has been accepted by many ex‐perts .Prone position ,puncture under X‐ray guidance ,F18‐24 percutaneous tract ,comprehensive cleaning stones system with pneumatic lithotripsy ,holmium laser ,and ultrasonic lithotripsy ,have been widely used in PCNL .Techniques such as ultra‐mini PCNL and tubeless PCNL are also developing .Scientific attitude and correct principles of PCNL operation can ensure the safe‐ty and efficacy of PCNL .
出处
《现代泌尿外科杂志》
CAS
2014年第11期706-708,共3页
Journal of Modern Urology
关键词
微创
经皮肾镜取石术
肾结石
minimally invasive surgery
percutaneous nephrolithotomy
renal stone
作者简介
曾国华（1966-），男（汉族），教授，主任医师，博士研究生导师．研究方向：泌尿系结石病因及防治．E—mail：gzgyzgh@vip．tom．com
