Department of Urology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiafang Avenue, Qiaokou, Wuhan, 430030, Hubei, China.
Int Urol Nephrol. 2018 May;50(5):807-817. doi: 10.1007/s11255-018-1847-4. Epub 2018 Mar 19.
Percutaneous nephrolithotomy (PCNL) is generally accepted as the gold standard treatment for the treatment of large kidney stones (> 2 cm). For nearly 40 years, with the continuous progress of technology and the constant updating of ideas, PCNL has made great progress. In this review, we discuss the current research progress, recent advancement and hot spot of the whole process of PCNL including anesthesia, position, puncture, dilation, lithotripsy approaches, perfusate, tube placement, hospitalization time, drug, treatment of residual stones, prognosis judgment and operation evaluation by summarizing the related research in this article.
经皮肾镜碎石取石术（PCNL）被普遍认为是治疗大肾结石（>2cm）的金标准治疗方法。近 40 年来，随着技术的不断进步和观念的不断更新，PCNL 取得了很大的进展。本文通过总结相关研究，讨论了 PCNL 包括麻醉、体位、穿刺、扩张、碎石方法、灌注液、置管、住院时间、药物、残石处理、预后判断和手术评估等全过程的当前研究进展、最新进展和热点。
