无管化经皮肾镜的研究进展  

Research Progress of Tubeless Percutaneous Nephrolithotomy

作　　者：余小祥[1] 周大庆[1] 莫曾南[2] 

机构地区：[1]中国人民解放军第三三医院泌尿外科,南宁530021 [2]广西医科大学第一附属医院泌尿科学研究所,南宁530021

出　　处：《医学综述》2014年第10期1853-1855,共3页Medical Recapitulate

基　　金：广西壮族自治区卫生厅青年基金课题项目(Z2013541;Z2011007)

摘　　要：泌尿系结石是泌尿外科常见疾病之一,经皮肾镜取石术(PCNL)是治疗直径>2 cm的肾结石和上段输尿管结石的首选治疗方式。但是,传统的PCNL需要留置肾造瘘管和输尿管内支架管,存在术后需要二次手术取管、术后疼痛、感染、出血、尿外渗、住院时间长、住院费用高等缺点。无管化经皮肾镜可减少上述缺点。该文将无管化经皮肾镜的历史、现状和未来发展方向予以综述。The urinary stone is one of the common urology diseases,and percutaneous nephrolithotomy is the first choice for the treatment of renal calculi and upper ureteral calculi with a diameter of more than 2 cm.H owever,the traditional percutaneous nephrolithotomy must include routine placement of nephrostomy tube and ureteral stent tube,which results in many disadvantages such as secondary surgery for withdrawing ureteral stent tube,postoperative pain,infection,bleeding,urinary extravasation,long hospital stay,and higher hospitalization costs.Tubeless percutaneous nephrolithotomy can lessen the above shortcomings.Here is to make a review of the past,present and future of tubeless percutaneous nephrolithotomy.

关 键 词：经皮肾镜取石术 无管化 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]