超微通道经皮肾镜取石术应用于上尿路结石治疗的研究进展
Research progress of super-mini percutaneous nephrolithotomy in the treatment of upper urinary stones
陈远威 1李卓 1柳建军1
作者信息
- 1. 广东医科大学附属医院泌尿外科(广东湛江,524000)
- 折叠
摘要
经皮肾镜取石术(percutaneous nephrolithotomy,PCNL)是国内外泌尿外科医师用于治疗上尿路结石的最佳选择方案之一.近年来,超微通道经皮肾镜取石术(super-mini percutaneous nephrolithotomy,SMP)作为PCNL的一种微创改进形式,展现了诸多优势,例如SMP的通道更小,配备了能同时进行操作和灌注的工作鞘,以及术中负压吸引装置,从而降低肾内压力并加快结石清除,术后可实现部分无管化甚至完全无管化.与传统PCNL相比,SMP的创伤更小,可以降低患者的术后疼痛,缩短住院时间,并加快恢复速度.随着SMP技术的不断改进与成熟,其适应证也在不断扩大,有望成为各类上尿路结石治疗的重要手段,是国内外研究的热点.本文就近年SMP用于治疗上尿路结石的研究做一综述.
Abstract
Percutaneous nephrolithotomy(PCNL)is an important surgical method used by urologists at home and abroad to treat upper urinary tract stones.In recent years,super-mini percutaneous nephrolithotomy(SMP),as a minimally invasive modification of PCNL,has shown many advantages,such as the smaller channel of SMP,equipped with a working sheath that allows simultaneous manipulation and perfusion,and intraoperative negative pressure suction device,thereby reducing the intrarenal pressure and speeding up stone removal.Partial or even complete tube-free can be achieved after the operation.Compared to traditional PCNL,SMP is less invasive and can reduce patients'postoperative pain,shorten hospital stay,and speed up recovery.With the continuous im-provement and maturity of SMP technology,it becomes a hot spot in domestic and foreign researches.Its indica-tions are also expanding,so it is expected to become an important means for the treatment of various upper urina-ry tract stones.This article reviews the recent studies on the use of SMP in the treatment of upper urinary tract stones.
关键词
超微通道经皮肾镜取石术/传统经皮肾镜取石术/上尿路结石/结石清除率/无管化Key words
super-mini percutaneous nephrolithotomy/traditional percutaneous nephrolithotomy/upper uri-nary stones/stone-free rate/tubeless引用本文复制引用
基金项目
国家自然科学基金面上项目(81272833)
广东省省级科技计划(2020A1414040035)
湛江市科技计划(2021A05075)
出版年
2024
NETL
NSTL
万方数据