经皮结石手术的进展
Advances in percutaneous stone surgery.
作者信息
Hartman Christopher, Gupta Nikhil, Leavitt David, Hoenig David, Okeke Zeph, Smith Arthur
机构信息
Hofstra North Shore-LIJ School of Medicine, The Arthur Smith Institute for Urology, New Hyde Park, NY, USA.
出版信息
Asian J Urol. 2015 Jan;2(1):26-32. doi: 10.1016/j.ajur.2015.04.010. Epub 2015 Apr 16.
Abstract
Treatment of large renal stones has changed considerably in recent years. The increasing prevalence of nephrolithiasis has mandated that urologists perform more surgeries for large renal calculi than before, and this has been met with improvements in percutaneous stone surgery. In this review paper, we examine recent developments in percutaneous stone surgery, including advances in diagnosis and preoperative planning, renal access, patient position, tract dilation, nephroscopes, lithotripsy, exit strategies, and post-operative antibiotic prophylaxis.
摘要
近年来，大型肾结石的治疗发生了相当大的变化。肾结石患病率的不断上升要求泌尿外科医生比以往进行更多的大型肾结石手术，而经皮肾镜取石术也因此得到了改进。在这篇综述论文中，我们探讨了经皮肾镜取石术的最新进展，包括诊断和术前规划、肾脏穿刺通道建立、患者体位、通道扩张、肾镜、碎石术、退出策略以及术后抗生素预防等方面的进展。
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本文引用的文献
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S.T.O.N.E. nephrolithometry: novel surgical classification system for kidney calculi.S.T.O.N.E. 肾结石碎石术：一种新的肾结石外科分类系统。
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