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。
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 improvement and maturity of SMP technology,it becomes a hot spot in domestic and foreign researches.Its indications are also expanding,so it is expected to become an important means for the treatment of various upper urinary tract stones.This article reviews the recent studies on the use of SMP in the treatment of upper urinary tract stones.
作者
陈远威
李卓
柳建军
CHEN Yuanwei;LI Zhuo;LIU Jianjun(Department of Urology,Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong,524000,China)
出处
《临床泌尿外科杂志》
CAS
2024年第5期456-462,共7页
Journal of Clinical Urology
基金
国家自然科学基金面上项目(No:81272833)
广东省省级科技计划项目(No:2020A1414040035)
湛江市科技计划项目(No:2021A05075)。
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
super-mini percutaneous nephrolithotomy
traditional percutaneous nephrolithotomy
upper urinary stones
stone-free rate
tubeless
