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经皮肾镜取石术的新进展。

What's new in percutaneous nephrolithotomy.

作者信息

Ganpule Arvind P, Desai Mahesh R

机构信息

Muljibhai Patel Urological Hospital, Dr. Virendra Desai Road, Nadiad 387001, India.

出版信息

Arab J Urol. 2012 Sep;10(3):317-23. doi: 10.1016/j.aju.2012.07.005. Epub 2012 Aug 14.

DOI:10.1016/j.aju.2012.07.005
PMID:26558043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4442968/
Abstract

INTRODUCTION

The goal of percutaneous nephrolithotomy (PCNL) is to ensure complete stone clearance with minimal morbidity. The key to complete clearance is accurate technique, expertise and instrumentation.

METHODS

We systematically reviewed available reports that were identified using a PubMed/Medline search. The keywords used were 'PCNL' and 'advances in PCNL'. The findings were reviewed under the topics of newer developments in imaging, techniques and a review of outcomes with an emphasis on stone clearance and complications.

CONCLUSION

The newer developments in imaging methods, such as cone-beam computed tomography and staghorn morphometry, help the surgeon to plan the procedure for a safe and better outcome. The highlight of these newer developments is the miniaturisation of instruments. This has translated into developing newer techniques such as the 'microperc' and 'miniperc'. The data-collection initiative by the Clinical Research Office of the Endourological Society has helped in obtaining a high level of evidence.

摘要

引言

经皮肾镜取石术（PCNL）的目标是确保以最低的发病率实现结石完全清除。实现完全清除的关键在于精确的技术、专业知识和器械。

方法

我们系统回顾了通过PubMed/Medline检索确定的现有报告。使用的关键词是“PCNL”和“PCNL的进展”。研究结果在成像、技术的新进展以及结果回顾等主题下进行了审查，重点是结石清除和并发症。

结论

成像方法的新进展，如锥形束计算机断层扫描和鹿角形结石形态测量法，有助于外科医生规划手术，以实现安全且更好的结果。这些新进展的亮点是器械的小型化。这已转化为开发如“微通道经皮肾镜取石术”和“迷你通道经皮肾镜取石术”等新技术。内镜泌尿外科学会临床研究办公室的数据收集计划有助于获得高水平的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/58992e2dac83/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/4e43a61935ef/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/32fec0c0ebfc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/631dc759ec29/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/b249f16846d1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/58992e2dac83/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/4e43a61935ef/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/32fec0c0ebfc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/631dc759ec29/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/b249f16846d1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d0e/4442968/58992e2dac83/gr4.jpg

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BJU Int. 2012 Dec;110(11 Pt C):E1018-21. doi: 10.1111/j.1464-410X.2012.11188.x. Epub 2012 May 7.
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Treating renal calculi 1-2 cm in diameter with minipercutaneous or retrograde intrarenal surgery: a prospective comparative study.
EMS Lithoclast Trilogy™: an effective single-probe dual-energy lithotripter for mini and standard PCNL.
EMS 碎石清石系统 Trilogy™：适用于迷你和标准经皮肾镜取石术的高效单探针双能碎石器。
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