CAJ | 학술논문

经皮肾镜取石术（PCNL）是通过超声或 X 线定位经皮穿刺至肾脏扩张后建立操作通道，击碎并取出结石，目前已完全取代开放手术，成为治疗肾及输尿管上段结石的一线选择方法，由于其具有创伤小、术后恢复快、治疗效果与开放手术相当，甚至优于开放手术等优点，同时也是较大的复杂肾结石一线治疗方案，伴随着影像学的进步、碎石仪器的迅猛发展和腔内技术的提高，人们对结石的治疗观点有了新的拓展和认识，对这种手术方式提出新的要求以适应患者的需求，如何更加微创化，更能减少患者的痛苦及对患者的肾脏损伤最小成为目前泌尿外科工作人员研究的热点，现将近年来经皮肾镜取石术研究进展综述如下。
경피신경취석술（PCNL）시통과초성혹 X 선정위경피천자지신장확장후건립조작통도，격쇄병취출결석，목전이완전취대개방수술，성위치료신급수뇨관상단결석적일선선택방법，유우기구유창상소、술후회복쾌、치료효과여개방수술상당，심지우우개방수술등우점，동시야시교대적복잡신결석일선치료방안，반수착영상학적진보、쇄석의기적신맹발전화강내기술적제고，인문대결석적치료관점유료신적탁전화인식，대저충수술방식제출신적요구이괄응환자적수구，여하경가미창화，경능감소환자적통고급대환자적신장손상최소성위목전비뇨외과공작인원연구적열점，현장근년래경피신경취석술연구진전종술여하。
Percutaneous nephrolithotomy (PCNL) has completely replaced open operation and to be the first line of treatment renal and upper ureteral calculi through B ultrasound or X-ray locating percutaneous puncture to renal expansion and remove stones, because of its small trauma, postoperative recovery quickly, treatment effect with the open operation, or even superior to open operation, it’s also the first line of treatment for more complex renal calculi. With the rapid development of imaging progress, instrument and endovascular technology improvement, the views of stone treatment has new development and understanding of this operation. How to be minimally invasive, and help reduce the pain of patients and the minimum trauma has been a hot research for department of Urology staff to adapt to the needs of patients.