上尿路结石内镜治疗手术体位研究进展  

Research progress of different surgical positions in the endoscopic treatment of upper urinary tract stones

作　　者：戴亮亮 李诗慧 宋日进[4] 孟祥虎 史红雷[1,2,3] DAI Liangliang;LI Shihui;SONG Rijin;MENG Xianghu;SHI Honglei(Department of Urology,Wujin Hospital Affiliated with Jiangsu University,Changzhou 213004;Department of Urology,Wujin Clinical College of Xuzhou Medical University,Changzhou 213004;Department of Urology,Changzhou Medical Center,Nanjing Medical University,Changzhou 213004;Department of Urology,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]江苏大学附属武进医院泌尿外科,江苏常州213004 [2]徐州医科大学武进临床学院泌尿外科,江苏常州213004 [3]南京医科大学常州医学中心泌尿外科,江苏常州213004 [4]南京医科大学第一附属医院泌尿外科,江苏南京210029

出　　处：《现代泌尿外科杂志》2024年第8期737-743,共7页Journal of Modern Urology

基　　金：江苏省研究生科研与实践创新计划项目(No.SJCX22_1880);南京医科大学常州医学中心临床研究项目(No.CMCC202211)。

摘　　要：在上尿路结石手术中采用正确的手术体位可提供良好的手术视野、缩短手术时间、减少并发症发生率,同时能够确保患者的气道安全和舒适度。腔内手术是肾结石和输尿管结石的首选手术治疗方式,术中采用传统体位复发率及严重并发症发生率较高,因此有更多体位逐渐被尝试应用。本文综述近年国内外不同手术体位在经皮肾镜取石术(PCNL)、逆行肾内输尿管软镜碎石术(RIRS)以及PCNL联合RIRS中的适用范围和治疗效果,并对其优缺点进行总结,以供临床参考。Surgical position is very important in upper urinary calculi surgery.The correct surgical position can provide a good surgical field of view,shorten the operation time,reduce the incidence of complications,and ensure the safety of patients’airway and comfort.Endoscopic surgery is the preferred treatment for kidney and ureteral stones.As the traditional position causes higher recurrence rate and more complications,more positions have been experimented.This article reviews the application and therapeutic effects of different surgical positions in percutaneous nephrolithotomy(PCNL),retrograde intrarenal flexible ureteroscopic lithotripsy(RIRS)as well as their combined use,and summarizes the advantages and disadvantages for clinical reference.

关 键 词：残余碎石 尿石症 微创治疗 手术体位 结石清除率 经皮肾镜取石术 逆行肾内输尿管软镜碎石术 

分 类 号：R691.4[医药卫生—泌尿科学]