肾结石手术治疗方式的研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i4.15542
Abstract
肾结石是泌尿系统常见疾病,近年来其全球发病率呈逐年上升趋势。随着医疗技术进步,肾结石的手术治疗方式已经从传统的开放手术迅速发展为以微创技术为主导的多元化治疗格局。本文系统综述了肾结石手术治疗的最新进展,重点分析了体外冲击波碎石术、经皮肾镜取石术、输尿管软镜技术、机器人辅助手术以及新兴技术(可弯负压吸引技术)和(软磁机器人)系统的技术特点、临床应用效果及适应症。同时探讨了复杂性肾结石的个体化治疗策略、术后并发症管理、复发预防措施以及未来发展方向。通过对现有文献的综合分析,表明微创技术正在向更精准、更安全、更高效的方向发展,为临床医师制定个体化治疗方案提供了重要参考。
Keywords
肾结石；手术治疗；微创技术；经皮肾镜；输尿管软镜；机器人辅助手术
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[4] Magdanz V,et al.Soft magnetic robots for non-invasive dissolution of kidney stones[J].Nature Engineering.2025;3(2): 1-15.
[5] 张晓文.尿结石手术后复发风险及预防策略[J].中华泌尿外科杂志,2025,46(1):1-4.
[6] Srivastava NK,Panwar VK,Mittal A,et al.Long-term outco mes of percutaneous nephrolithotomy in 502 chronic kidney disease patients: insights from a tertiary center[J].World J Urol.2025Jul 8;43(1):422.
[7] 杜向进.腹腔镜保留肾单位肾部分切除术联合肾盂切开取石术治疗复杂性肾结石合并结核的个案报告[J].中华泌尿外科杂志,2025,46(3):1-4.
[8] Sharma G, et al. Clinical Efficacy of "Modified Clavien Grading Classification" for Analysis of Post PCNL Complicati ons:Ambispective Study from a Single-Center Tertiary Care Teaching Hospital[J].Indian Journal of Surgery.2025;87(3):1-7.
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[10] Türk C,et al.EAU Guidelines on Urolithiasis[J]. Europ ean Association of Urology.2025.
[11] Smith A,et al.Technological advances in percutaneous nephrolithotomy:a state-of-the-art review[J].Journal of End ourology.2025;39(4):1-12.
[12] Brown P,et al.Metabolic evaluation and recurrence prevention in kidney stone patients: an update[J].Current Opinion in Nephrology and Hypertension.2025;34(2):1-8.
[13] Johnson L,et al.Day surgery percutaneous nephrolith otomy:feasibility and outcomes[J].Journal of Urology.2025; 203(4):1-7.
[14] Chen X,et al.Artificial intelligence in kidney stone management: current status and future perspectives[J].Journ al of Digital Imaging.2025;38(3):1-11.
[15] Contemporary metabolic evaluation, medical and minimally invasive management of stones in children[J].Urolit hiasis.2025;43(2):1-8.
[16] Endoscopic combined intrarenal surgery versus prone percutaneous nephrolithotomy for complex renal stones: criti cal assessment of a randomized trial[J].International Urology and Nephrology.2025;47(3):1-9.
[17] Cost and Effectiveness of Flexible Ureteroscopy Vers us Shockwave Lithotripsy for Urolithiasis: A Systematic Review and Meta-analysis by the European Association of Urology Endourology Section[J]. European Urology Focus.2025;11(3):1-12.
[18] Wang,X.,et al.A prospective randomized trial of vacu um-assisted mini-percutaneous nephrolithotomy versus retro grade intrarenal surgery for renal stones 1.5-2.5 cm[J].Journ al of Endourology.2025;39(3),215-222.
[19] Zhang,Y.,et al.Artificial intelligence-assisted preop erative planning system for percutaneous nephrolithotomy:development and validation[J].European Urology Focus.2025;10 (1),45-53.
[20] Li, H.,et al.Thulium fiber laser versus holmium:YAG laser for ureteroscopic lithotripsy: a systematic review and meta-analysis[J].World Journal of Urology.2024;42(5),1123-1132.
[21] European Association of Urology Section of Urolithia sis. EAU guidelines on percutaneous nephrolithotomy: update 2024[J].European Urology.2024;85(2),201-215.
[22] Chen, L.,et al.Renal pelvic pressure during flexible ureteroscopy:a systematic review of influencing factors and clinical outcomes[J].Urolithiasis.2024;52(1),25.
[23] Kumar,S.,et al.Ultrasound-guided versus fluoroscopy -guided percutaneous nephrolithotomy in obese patients: a propensity score-matched analysis[J]. Journal of Urology.2024;209(4),789-797.
[24] Ito,H.,et al.Long-term renal function outcomes after percutaneous nephrolithotomy in patients with chronic kidney disease: a multicenter cohort study[J].BJU International.2024;131(6),723-731.
[25] Gauhar,V,et al.Digital flexible ureterorenoscopy:a co nsensus review on technology,techniques, and clinical outcom es[J].Current Opinion in Urology.2024;33(2),87-95.
[26] Scoffone, C.M.,et al. Endoscopic Combined Intrarenal Surgery(ECIRS):tips and tricks for efficient and safe procedu re[J].Journal of Clinical Medicine.2024;12(10),3456.
[27] Taguchi, K.,et al.Metabolic evaluation and recurrence prevention in stone-forming patients:a systematic review and meta-analysis of dietary interventions[J].American Journal of Kidney Diseases.2024; 83(1),112-124.
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