醫學專欄~黃琮懿-泌尿道結石處理新概念

1. ...
10-20%
( )
(
...)
:
Percutaneous nephrolithotomy (PNL)
Rigid and flexible ureteroscopy (URS)
Extracorporeal Shock Wave Lithotripsy
(ESWL)
<0.4cm 90%
2
...
(PNL)
(pyelolithotomy)
0.5cm 1cm
"endourology"

2. 1. (>2 cm )
( UPJ )
2.
Cystine stone
3. (horseshoe kidneys
or ureteropelvic junction obstruction)
4. (calyceal diverticula)
(PCN, Percutaneous
Nephrostomy)
(PCN)
(PNL) X
(puncture
needle) X
(guidewire)
(Fascial dilator)
(Nephrostomy Balloon Catheter)
24~30F
(Amplatz sheath)
(electrohydraulic probe)
(ultrasonic lithotriptor)
(lithoclast) (Forceps
or basket)
(
)
0.8-
1cm

3. (Intracorporeal Lithotripters)
J
1 3
(
)
(
)
...

4. (
Brushite(CaP) , COM
, cystine ) (
) X
( )
DNA ...
J

5. simultaneously
supine PCNL and URSL
ECIRS(Endoscopic Combined Intrarenal
Surgery)