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经皮肾镜取石术的并发症及其处理

[Complications of percutaneous nephrolithotomy and their management].

作者信息

Malkhasyan V A, Semenyakin I V, Ivanov V Yu, Sukhikh S O, Gadzhiev N K

机构信息

S.I. Spasokukotsky City Clinical Hospital, Moscow, Russia.

First Pavlov State Medical University of St. Petersburg, St. Petersburg, Russia.

出版信息

Urologiia. 2018 Oct(4):147-153.

Abstract

To date, percutaneous nephrolithotomy (PNL) is the standard treatment modality for large-volume renal stones and staghorn stones in patients with urolithiasis. Despite low invasiveness, this method is not without complications. This review discusses the most common complications and suggests methods for their prevention and appropriate management. To unify the study of complications they were categorized based on the modified Clavien classification. According to the available data, about 80% of the PNL complications belong to grade I-II complications and does not require any additional treatment. The most serious complications include sepsis, bleeding, and injury to nearby organs.

摘要

迄今为止,经皮肾镜取石术(PNL)是治疗尿石症患者中大量肾结石和鹿角形结石的标准治疗方式。尽管该方法侵入性较低,但并非没有并发症。本综述讨论了最常见的并发症,并提出了预防和适当管理这些并发症的方法。为了统一并发症的研究,根据改良的Clavien分类对其进行了分类。根据现有数据,约80%的PNL并发症属于I-II级并发症,不需要任何额外治疗。最严重的并发症包括败血症、出血和邻近器官损伤。

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