Zhao Huimin,Yang Boyu,Zhou Houyu,et al.Research progress of percutaneous nephrolithotripsy in children[J].Journal of Clinical Pediatric Surgery,2026,(03):296-300.[doi:10.3760/cma.j.cn101785-202404059]
儿童经皮肾镜碎石术研究进展
- Title:
- Research progress of percutaneous nephrolithotripsy in children
- Keywords:
- Urinary Tract Stones; Positioning; Surgical Procedures; Operative; Child
- 摘要:
- 经皮肾镜碎石术(percutaneous nephrolithotomy,PCNL)是儿童上尿路结石重要的外科治疗方法之一,是治疗体积较大肾结石的标准方法,其常见的手术体位包括俯卧位、仰卧位和侧卧位。经过数十年的发展,PCNL术中建立的通道逐渐变小,在保证清石率的前提下,手术创伤越来越小,出现并发症的风险也随之降低。无管化、内窥镜联合是当下PCNL的研究热点。本文就儿童PCNL的手术适应证、手术体位及多种手术通道的研究进展进行综述。
- Abstract:
- Percutaneous nephrolithotomy (PCNL) is one of the key surgical methods for treating upper urinary tract stones in children and is the standard method for large kidney stones.Common surgical positions for PCNL include prone,supine,and lateral positions.Over decades of development,the surgical tract used in PCNL has progressively become smaller,reducing surgical trauma and lowering the risk of complications while maintaining high stone clearance rates.Current research focuses on tubeless techniques and endoscopic combinations.This article reviews the indications,surgical positions,and various surgical tracts for PCNL in children.
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备注/Memo
收稿日期:2024-4-28。
基金项目:首都卫生发展科研专项项目(首发2022-2-1102);北京市通州区科技计划(WS2025028)
通讯作者:李钧,Email:lljun@yeah.net