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Treatment of renal lower pole stones: an update.

作者信息

Mazzucchi Eduardo, Berto Fernanda C G, Denstedt John, Danilovic Alexandre, Batagello Carlos Alfredo, Torricelli Fabio C M, Vicentini Fabio C, Marchini Giovanni S, Srougi Miguel, Nahas William C

机构信息

Seção de Endourologia - Divisão de Urologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, SP, Brasil.

Division of Urology, Western University Ontario, Canada.

出版信息

Int Braz J Urol. 2022 Jan-Feb;48(1):165-174. doi: 10.1590/S1677-5538.IBJU.2020.1023.

DOI:10.1590/S1677-5538.IBJU.2020.1023
PMID:33861537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8691227/
Abstract
摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abb5/8691227/855e7c252d89/1677-6119-ibju-48-01-0165-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abb5/8691227/855e7c252d89/1677-6119-ibju-48-01-0165-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abb5/8691227/855e7c252d89/1677-6119-ibju-48-01-0165-gf01.jpg

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1
Treatment of renal lower pole stones: an update.肾下极结石的治疗：最新进展
Int Braz J Urol. 2022 Jan-Feb;48(1):165-174. doi: 10.1590/S1677-5538.IBJU.2020.1023.
2
Is lower pole caliceal anatomy predictive of extracorporeal shock wave lithotripsy success for primary lower pole kidney stones?下极肾盏解剖结构能否预测原发性下极肾结石体外冲击波碎石术的成功率？
J Urol. 2002 Dec;168(6):2377-82; discussion 2382. doi: 10.1016/S0022-5347(05)64149-3.
3
Impact of anatomical pielocaliceal topography in the treatment of renal lower calyces stones with extracorporeal shock wave lithotripsy.解剖学肾盂肾盏形态对体外冲击波碎石术治疗肾下盏结石的影响
Int J Urol. 2005 Jun;12(6):525-32. doi: 10.1111/j.1442-2042.2005.01101.x.
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Comparison between retrograde intrarenal surgery and extracorporeal shock wave lithotripsy in the treatment of lower pole kidney stones up to 15 mm. Prospective, randomized study.逆行性肾内手术与体外冲击波碎石术治疗直径达15毫米的下极肾结石的比较。前瞻性随机研究。
Actas Urol Esp. 2015 May;39(4):236-42. doi: 10.1016/j.acuro.2014.08.003. Epub 2014 Nov 28.
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The clinical and cost effectiveness of surgical interventions for stones in the lower pole of the kidney: the percutaneous nephrolithotomy, flexible ureterorenoscopy and extracorporeal shockwave lithotripsy for lower pole kidney stones randomised controlled trial (PUrE RCT) protocol.经皮肾镜碎石术、软性输尿管镜碎石术和体外冲击波碎石术治疗肾下极结石的临床和成本效益：肾下极结石随机对照试验（PUrE RCT）方案。
Trials. 2020 Jun 4;21(1):479. doi: 10.1186/s13063-020-04326-x.
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Nitinol stone retrieval-assisted ureteroscopic management of lower pole renal calculi.镍钛诺取石辅助输尿管镜治疗下极肾结石
Urology. 2000 Dec 20;56(6):935-9. doi: 10.1016/s0090-4295(00)00821-9.
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Renal Stone Features Are More Important Than Renal Anatomy to Predict Shock Wave Lithotripsy Outcomes: Results from a Prospective Study with CT Follow-Up.肾结石特征比肾脏解剖结构更能预测体外冲击波碎石术的结果：一项前瞻性研究并结合 CT 随访的结果。
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Percutaneous caliceal irrigation during extracorporeal shock wave lithotripsy for lower pole renal calculi.体外冲击波碎石术治疗下极肾结石时的经皮肾盏冲洗
J Urol. 1994 Dec;152(6 Pt 2):2227. doi: 10.1016/s0022-5347(17)31647-6.
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Efficacy of the lithotripsy in treating lower pole renal stones.碎石术治疗肾下极结石的疗效。
Urolithiasis. 2013 Jun;41(3):231-4. doi: 10.1007/s00240-013-0549-8. Epub 2013 Mar 3.
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Flexible ureteroscopy in conjunction with in situ lithotripsy for lower pole calculi.输尿管软镜联合原位碎石术治疗下极结石
Urology. 2001 Dec;58(6):859-63. doi: 10.1016/s0090-4295(01)01500-x.

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Transl Androl Urol. 2025 Jan 31;14(1):158-165. doi: 10.21037/tau-24-388. Epub 2025 Jan 20.
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本文引用的文献

1
The clinical and cost effectiveness of surgical interventions for stones in the lower pole of the kidney: the percutaneous nephrolithotomy, flexible ureterorenoscopy and extracorporeal shockwave lithotripsy for lower pole kidney stones randomised controlled trial (PUrE RCT) protocol.经皮肾镜碎石术、软性输尿管镜碎石术和体外冲击波碎石术治疗肾下极结石的临床和成本效益：肾下极结石随机对照试验（PUrE RCT）方案。
Trials. 2020 Jun 4;21(1):479. doi: 10.1186/s13063-020-04326-x.
2
Upper urinary tract stone compositions: the role of age and gender.上尿路结石成分：年龄和性别因素的作用。
Int Braz J Urol. 2020 Jan-Feb;46(1):70-80. doi: 10.1590/S1677-5538.IBJU.2019.0278.
3
Innovative approaches to large lower calyceal stones (10-20 mm): evaluating modified T-tilt position and lower calyx hydrodilatation techniques in flexible ureteroscopy versus hydrodilatation alone: prospective randomized controlled study.治疗大的下盏结石（10 - 20毫米）的创新方法：对比单纯水扩张术，评估在软性输尿管镜检查中改良T形倾斜体位和下盏水扩张技术：前瞻性随机对照研究
Int Urol Nephrol. 2025 Jan 31. doi: 10.1007/s11255-024-04339-4.
4
Comparison of tip-bendable aspiration-assisted and standard access sheaths in the treatment of lower calyceal stones.可弯曲尖端的抽吸辅助鞘与标准接入鞘在治疗下盏结石中的比较。
Rev Assoc Med Bras (1992). 2024 Dec 16;70(12):e20241033. doi: 10.1590/1806-9282.20241033. eCollection 2024.
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Relocation of lower pole renal stones helps improve the stone-free rate during flexible ureteroscopy with a low complication rate.低位肾结石的移位有助于提高软镜碎石术的结石清除率，且并发症发生率低。
World J Urol. 2024 Jan 13;42(1):30. doi: 10.1007/s00345-023-04703-6.
6
Retrospective study of single-use digital flexible ureteroscopic lithotripsy versus miniaturized percutaneous nephrolithotomy for 1.5-2.5cm lower pole renal stones.回顾性研究单次使用数字软性输尿管镜碎石术与微通道经皮肾镜取石术治疗 1.5-2.5cm 下极肾结石的效果。
Int Urol Nephrol. 2024 Jan;56(1):55-62. doi: 10.1007/s11255-023-03771-2. Epub 2023 Sep 1.
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The feasibility of ultrasound-guided mini-percutaneous nephrolithotomy for ESWL-resistant lower calyx renal stones of up to two centimeters: a single center experience.超声引导下微通道经皮肾镜取石术治疗 ESWL 抵抗性 2cm 以下下盏肾结石的可行性：单中心经验。
J Med Life. 2023 Apr;16(4):520-525. doi: 10.25122/jml-2023-0036.
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Cystine Stones: Developments in Minimally Invasive Surgery and Their Impact on Morbidity and Stone Clearance.胱氨酸结石：微创手术的进展及其对发病率和结石清除率的影响
Res Rep Urol. 2023 Jun 5;15:175-185. doi: 10.2147/RRU.S381190. eCollection 2023.
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Efficacy and safety of surgical treatment for 1-2 cm sized lower pole of renal stone: network meta-analysis of randomized control trials.1-2厘米大小的肾下盏结石手术治疗的疗效和安全性：随机对照试验的网状Meta分析
Urolithiasis. 2023 May 15;51(1):82. doi: 10.1007/s00240-023-01454-2.
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Outcomes in Lower Pole Kidney Stone Management Using Mini-Percutaneous Nephrolithotomy Compared With Retrograde Intra Renal Surgery: A Randomized Controlled Trial.与逆行肾内手术相比，采用迷你经皮肾镜取石术治疗下极肾结石的疗效：一项随机对照试验
Cureus. 2023 Feb 23;15(2):e35343. doi: 10.7759/cureus.35343. eCollection 2023 Feb.
Two-shift operation mode can improve the efficiency and comfort of flexible ureteroscopic holmium laser lithotripsy for the treatment of renal calculi larger than 1.5cm.
两班制手术模式可提高输尿管软镜钬激光碎石术治疗大于 1.5cm 肾结石的效率和舒适度。
Int Braz J Urol. 2019 Nov-Dec;45(6):1161-1166. doi: 10.1590/S1677-5538.IBJU.2019.0219.
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Factors affecting fluoroscopy time during percutaneous nephrolithotomy: Impact of stone volume distribution in renal collecting system.影响经皮肾镜取石术透视时间的因素：肾集合系统结石分布的影响。
Int Braz J Urol. 2019 Nov-Dec;45(6):1153-1160. doi: 10.1590/S1677-5538.IBJU.2019.0111.
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Comparative Efficacy on Flexible Ureteroscopy Lithotripsy and Miniaturized Percutaneous Nephrolithotomy for the Treatment of Medium-Sized Lower-Pole Renal Calculi.对比软性输尿管镜碎石术与微创经皮肾镜取石术治疗中等大小下极肾结石的疗效。
J Endourol. 2019 Nov;33(11):914-919. doi: 10.1089/end.2019.0504. Epub 2019 Oct 9.
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Renal Stone Features Are More Important Than Renal Anatomy to Predict Shock Wave Lithotripsy Outcomes: Results from a Prospective Study with CT Follow-Up.肾结石特征比肾脏解剖结构更能预测体外冲击波碎石术的结果：一项前瞻性研究并结合 CT 随访的结果。
J Endourol. 2020 Jan;34(1):63-67. doi: 10.1089/end.2019.0545. Epub 2019 Nov 21.
7
Comparison of supine and prone miniaturized percutaneous nephrolithotomy in the treatment of lower pole, middle pole and renal pelvic stones: A matched pair analysis.对比仰卧位与俯卧位微创经皮肾镜取石术治疗肾下盏、肾中盏及肾盂结石: 配对分析。
Int Braz J Urol. 2019 Sep-Oct;45(5):956-964. doi: 10.1590/S1677-5538.IBJU.2019.0049.
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3D Reconstruction and physical renal model to improve percutaneous punture during PNL.三维重建和实体肾脏模型以改善经皮肾镜取石术中的经皮穿刺。
Int Braz J Urol. 2019 Nov-Dec;45(6):1281-1282. doi: 10.1590/S1677-5538.IBJU.2018.0799.
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A comprehensive literature-based equation to compare cost-effectiveness of a flexible ureteroscopy program with single-use versus reusable devices.一种基于文献的综合方程，用于比较单次使用与可重复使用设备的软性输尿管镜程序的成本效益。
Int Braz J Urol. 2019 Jul-Aug;45(4):658-670. doi: 10.1590/S1677-5538.IBJU.2018.0880.
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Super-mini percutaneous nephrolithotomy (SMP) vs retrograde intrarenal surgery for the treatment of 1-2 cm lower-pole renal calculi: an international multicentre randomised controlled trial.超微经皮肾镜取石术（SMP）与逆行性肾内手术治疗 1-2cm 下极肾结石：一项国际多中心随机对照试验。
BJU Int. 2018 Dec;122(6):1034-1040. doi: 10.1111/bju.14427. Epub 2018 Jul 26.