PCNL（造廔）.docVIP

PCNL（造廔） PCNL percutaneous nephroscopy (PCNL) Percutaneous nephroscope technology (PCNL) cavity is an important part of urology surgery, in the treatment of urinary stones, together with ureteroscopy technique and extracorporeal shock wave lithotripsy become modern main treatment method, has been completely changed the traditional way of surgical treatment of open surgery. Through percutaneous nephroscopy, ureteroscopy and extracorporeal shock wave lithotripsy, more than 90% of renal calculi can be exempted from open surgery. Microinvasive percutaneous nephroscopy (MPCNL) is a method to improve the traditional percutaneous nephroscopy, to reduce the diameter of the perforating fistula channel and to use ureteroscopy or small nephroscope. I have accumulated a rich experience of microinvasive subcutaneous pressure ballistic and holmium laser lithotripsy in microinvasive percutaneous nephroscope, successfully curing a large number of patients with polymorphic or cast stone. In recent years, with the improvement of clinical practice technology and equipment, the operation method and scope of treatment have been greatly developed and expanded, and the surgical method is more minimally invasive. 1. In 1955 Goodwin used puncture needle percutaneous renal puncture to treat hydronephrosis. In 1976 Femstram was successfully obtained by percutaneous nephrolithoscope (PCNL). Since then, percutaneous nephroscope has been widely used to treat kidney stones. In 1983, Whitfield completed the first case of percutaneous nephroid pyeloneal ureter with endotomy and expanded the application of percutaneous nephroscope. In the 1980s, with the popularization of ESWL and ureteroscopy, the percutaneous nephroscope was at a low ebb. In recent years, realized the ESWL has damage to the kidney, to establish the technique of percutaneous renal biopsy micro colostomy, the more effective method laser and pneumatic ballistic lithotripsy, percutaneous nephroscope technology and new development. In