斜跨位经皮肾镜手术的临床探索及上尿路结石微创治疗的整体策略 (“大家泌尿网”观看手术视频)  

Clinical exploration of PCNL in semi-supine combined lithotomy position and the overall strategy of minimally invasive treatment of upper urinary tract calculi

作　　者：许可慰[1] 李卓航[1] 吴至楷 XU Kewei;LI Zhuohang;WU Zhikai(Department of Urology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510000,China)

机构地区：[1]中山大学孙逸仙纪念医院泌尿外科,广东广州510000

出　　处：《现代泌尿外科杂志》2024年第6期477-480,491,共5页Journal of Modern Urology

基　　金：广东省医学科学技术研究基金项目(No.A2022541)。

摘　　要：经皮肾镜碎石取石术(PCNL)是治疗复杂性肾结石的一线手段,可在多种体位下被实施。斜跨位是一种灵活便利、安全有效的体位,可在该单一体位下联合经皮肾镜与逆行入路手术,因此适用于治疗复杂性肾结石。本文回顾了斜跨位PCNL的诞生、特点与优势,及其在复杂性肾结石治疗上的应用,并以此为基础,进一步提出了上尿路结石整体微创治疗策略。Percutaneous nephrolithotomy(PCNL)is the first-line treatment for complex kidney stones and can be performed in a variety of positions.Semi-supine combined lithotomy position,as a flexible,convenient,safe and effective position for PCNL,can be conducted in a retrograde approach under a single position,so it is suitable for the treatment of complex kidney stones.We will review the development characteristics and advantages of PCNL in semi-supine combined lithotomy position,and its application in the treatment of complex kidney stones.Based on this,we will further propose a minimally invasive treatment strategy for upper urinary tract calculi.

关 键 词：经皮肾镜碎石取石术 斜跨位 上尿路结石 复杂性肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]