经皮肾穿刺技术的研究进展

doi:10.19558/j.cnki.10-1020/r.2021.04.014

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摘要经皮肾镜取石术是上尿路结石的重要治疗方法之一,经过40余年的发展,经皮肾镜取石术已发展为多种形式。无论何种形式的经皮肾镜取石术,经皮肾穿刺是手术的必要步骤,也是手术成功的关键,经皮肾穿刺不当可能导致严重的并发症并影响手术治疗效果。目前常见的引导穿刺设备是X线、B超或CT,其中尤以前两种最为常见。虽然X线透视或超声引导下的经皮肾穿刺目前在各家医院广泛开展,但其并发症的发生却不容忽视。不同学者从不同角度广泛探索如何建立安全精准的经皮肾穿刺通道,对结石的精准治疗具有重要意义。

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	彭家玺
	许陈祥
	周红庆

关键词 ：经皮肾镜取石术, 泌尿系结石, 经皮肾穿刺

Abstract：Percutaneous nephrolithotomy （PCNL） is one of the important methods for the treatment of upper urinary calculi. After more than 40 years of development, PCNL has developed into a variety of forms. Regardless of the form of PCNL, percutaneous renal puncture is a necessary step and a key step for the success of the operation. Improper percutaneous renal puncture may lead to serious complications and affect the outcome of surgical treatment. Percutaneous renal puncture under the guidance of X-ray, ultrasound or CT is the most common method, especially the former two. Although percutaneous renal puncture guided by fluoroscopy or ultrasound is widely carried out in various hospitals, its complications cannot be ignored. In order to obtain safe and accurate percutaneous renal puncture, different scholars have explored several techniques, which are of great significance for the precise treatment of stones.

Key words： percutaneous nephrolithotomy urinary calculi percutaneous renal puncture

收稿日期: 2020-07-06

通讯作者: 周红庆,1113293685@qq.com

引用本文:

彭家玺, 许陈祥, 周红庆. 经皮肾穿刺技术的研究进展[J]. 微创泌尿外科杂志, 2021, 10(4): 283-287.
PENG Jiaxi, XU Chenxiang, ZHOU Hongqing. Research progress of percutaneous renal puncture. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(4): 283-287.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract1697.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2021/V10/I4/283

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