经皮肾镜取石术治疗无积水肾结石中皮肾通道建立的应用研究进展

doi:10.3877/cma.j.issn.1674-0785.2023.08.012

泌尿系统的肾结石是泌尿系统最常见的疾病，目前经皮肾镜取石术是治疗复杂性肾结石的主要方法和有效手段之一，其中精准穿刺及安全的通道扩张是决定手术能否成功的关键步骤之一，尤其是无积水的肾结石患者，其肾皮质相对较厚且血管较为丰富，目标肾盏的操作空间有限，术中穿刺难度较大，穿刺及扩张过程中容易出血及丢失通路，增加了手术难度，本文就目前无积水结石中经皮肾镜取石术中皮肾通道的建立现状进行予以综述。

关键词: 泌尿系结石, 经皮肾镜取石术, 无积水肾结石, 穿刺方式, 皮肾通道

Urolithiasis is a common disease of the urinary system, and percutaneous nephrolithotomy (PCNL) is one of the main and effective methods for the treatment of complex renal calculi. Accurate puncture and safe tract dilation are the key steps that determine the success of the operation, especially for patients with stones without hydronephrosis, in whom the renal cortex is relatively thick, the blood vessels are abundant, and the operation space of the target renal calyx is limited. These make the intraoperative puncture difficult and tend to lead to bleeding and tract loss during the puncture and dilation process, which increases the difficulty of the operation. This article reviews the current status of the establishment of percutaneous renal tract for PCNL in patients with renal stones without hydronephrosis.

Key words: Urolithiasis, Percutaneous nephrolithotomy, Renal stones without hydronephrosis, Puncture technique, Percutaneous renal tract

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Progress in establishment of percutaneous renal tract in percutaneous nephrolithotomy for treatment of renal stones without hydronephrosis

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Progress in establishment of percutaneous renal tract in percutaneous nephrolithotomy for treatment of renal stones without hydronephrosis