Walsh Rhonda M, Kelly Christopher R, Gupta Mantu
Department of Urology, Columbia University, New York, NY, USA.
J Endourol. 2009 Oct;23(10):1679-85. doi: 10.1089/end.2009.0229.
Abstract Percutaneous nephrolithotomy is now the gold standard for treatment of large renal stones. In this article, we describe the indications for use of antegrade flexible nephroscopy during percutaneous nephrolithotomy, as well as for treatment of infundibular stenosis. We also discuss various new technologies to help in these endeavors, including digital cystoscopes and ureteroscopes and our preferred baskets, as well as our particular techniques for improving stone-free rates. The treatment of infundibular stenosis through percutaneous access is also reviewed.
摘要 经皮肾镜取石术现已成为治疗大型肾结石的金标准。在本文中,我们描述了在经皮肾镜取石术期间使用顺行性软性肾镜检查的适应症,以及用于治疗漏斗部狭窄的适应症。我们还讨论了有助于这些工作的各种新技术,包括数字膀胱镜和输尿管镜以及我们首选的套篮,以及我们提高结石清除率的特殊技术。还回顾了通过经皮途径治疗漏斗部狭窄的方法。