肾脏解剖在经皮肾镜碎石取石术中的应用研究 进展
Research Progress on the Application of Kidney Anatomy in Percutaneous Nephrolithotomy
DOI: 10.12677/acm.2026.162538, PDF,   
作者: 雷自勇, 梁晓涛, 姜永明*, 方 玮, 刘入铭, 刘晓宇：昆明医科大学第二附属医院泌尿外科，云南 昆明；凃建华：昆明医科大学第二附属医院手术室，云南 昆明
关键词: 经皮肾镜碎石取石术；肾脏解剖；通道建立；Percutaneous Nephrolithotomy； Kidney Anatomy； Channel Establishment
摘要: 泌尿系结石是最常见的泌尿系统疾病之一，其中以肾结石最常见，经皮肾镜碎石取石术(PCNL)是治疗复杂性肾结石，特别是鹿角形结石和>2 cm肾结石的金标准术式。手术成功与减少并发症发生的核心，在于对肾脏复杂三维解剖结构的深刻理解和精准应用。本文旨在综述近年来肾脏解剖知识在PCNL术前规划、通道建立及并发症预防等方面的临床应用研究进展，强调“解剖导向”的精准PCNL理念。
Abstract: Urinary tract stones are among the most common diseases of the urinary system, with kidney stones being the most prevalent. Percutaneous nephrolithotomy (PCNL) is the gold standard surgical procedure for treating complex kidney stones, especially staghorn calculi and stones larger than 2 cm. The key to surgical success and reducing complications lies in a profound understanding and precise application of the kidney’s complex three-dimensional anatomy. This article aims to review recent clinical research progress on the application of renal anatomical knowledge in PCNL preoperative planning, tract establishment, and complication prevention, emphasizing the concept of “anatomy-guided” precision PCNL.
文章引用：雷自勇, 梁晓涛, 凃建华, 姜永明, 方玮, 刘入铭, 刘晓宇. 肾脏解剖在经皮肾镜碎石取石术中的应用研究 进展[J]. 临床医学进展, 2026, 16(2): 1502-1507. https://doi.org/10.12677/acm.2026.162538

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