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Management of staghorn stones in special situations

机译:特殊情况下鹿角石的管理

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摘要

Staghorn stones have always been a challenge for urologists, especially in some special situations, such as horseshoe kidney, ectopic kidney, paediatric kidney, and solitary kidney. The treatment of these staghorn stones must be aggressive because they can lead to renal function loss and serious complications. The gold-standard management for staghorn stones is surgical treatment with the aim of clearing the stones and preserving renal function. Treatment methods for staghorn stones have developed rapidly, such as extracorporeal shock wave lithotripsy, retrograde intrarenal surgery, percutaneous nephrolithotomy and laparoscopy and open surgery. Whether the standard procedures for staghorn stones can also apply to these stones in special situations is still not agreed upon. The decision should be made individually according to the circumstances of the patient. In this review, we evaluates the previous studies and comments on the management of staghorn stones under special situations in the hope of guiding the optimal choice for urologists.
机译:鹿角石一直是泌尿科医师的挑战,特别是在某些特殊情况下,例如马蹄肾,异位肾,小儿肾和孤肾。这些鹿角结石的治疗必须是积极的,因为它们可能导致肾功能丧失和严重的并发症。鹿角结石的金标准管理是手术治疗,目的是清除结石并保留肾功能。鹿角结石的治疗方法发展迅速,例如体外冲击波碎石术,逆行肾内手术,经皮肾镜取石术和腹腔镜检查以及开放手术。鹿角石的标准程序在特殊情况下是否也可以适用于这些宝石尚无定论。应该根据患者的情况单独做出决定。在这篇综述中,我们评估了先前的研究和对特殊情况下鹿角石治疗的评论,以期为泌尿科医师提供最佳选择。

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