urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2019-7-2-93-111urovest-257Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEЛечение камней почек: стандарты и инновацииTreatment of kidney stones: standards and innovationshttps://orcid.org/0000-0002-9191-980XТрусовП. В.TrusovP. V.

Трусов Пётр Владимирович - врач уролог, заведующий отделением РХМДиЛ.

Petr V. Trusov - M.D.; Urologist, Chief, X-ray Surgical Diagnostic and Treatment Methods Division.

Rostov-on-Don

rosturology@rambler.ruhttps://orcid.org/0000-0001-8221-2127ГусевА. А.GusevA. A.

Гусев Андрей Анатольевич - кандидат медицинских наук, доцент; доцент кафедры урологии и репродуктивного здоровья человека с курсом детской урологии-андрологии ФПК и ППС.

Ростов-на-Дону, тел.: +7 (928) 227-38-72

Andrey A. Gusev - M.D., Ph.D. (M); Associate Professor, Department of Urology and Reproductive Human Health with Pediatric Urology and Andrology Courses, Advanced Training and Specialists Professional Retraining Faculty.

Rostov-on-Don

gusev_rost@mail.ruГАУ РО Областной консультативно-диагностический центрРоссияRegional Consultative and Diagnostic CenterRussian FederationФГБОУ ВО «Ростовский государственный медицинский университет» МЗ РФРоссияRostov State Medical UniversityRussian Federation2019160720197293111Copyright © Трусов П.В., Гусев А.А., 20192019Трусов П.В., Гусев А.А.Trusov P.V., Gusev A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/257

Мочекаменная болезнь остаётся одним из самых распространённых заболеваний в урологии, а камни почек составляют самую распространённую и актуальную часть этой проблемы. Актуальность темы нефролитиаза и его лечения определяет рост заболеваемости, отмеченный во всем мире, многообразие вариантов лечения с продолжением разработки новой техники. На сегодняшний день определены не все стандарты лечения камней почек различных размеров и локализаций. При этом новые тенденции в лечении могут изменить уже существующие стандарты. В данном литературном обзоре рассмотрены существующие стандарты лечения камней почек. Более подробно анализирована перкутанная нефролитотрипсия с её осложнениями, связанными с инструментами и энергиями, используемыми для разрушения и удаления конкрементов почек. Нами проведён анализ инновационных миниперкутанных техники и тенденций развития чрескожной хирургии нефролитиаза с целью определения их значимости в лечении камней почек.

Urolithiasis remains one of the most common diseases in urology. At the same time, kidney stones are the most common and relevant part of this problem. Topical areas of diagnosis and treatment of kidney stones is determined by the increase in the incidence noted throughout the world, as well as the variety of treatment options and the development of new techniques. Currently, not all standards for the treatment of kidney stones of various sizes and localizations are defined. At the same time, new trends in treatment may change existing standards. This literature review considers existing standards for the treatment of kidney stones. Percutaneous nephrolithotripsy with its complications associated with the tools and energies used to destroy and remove kidney stones is analyzed in more detail. We have analyzed innovative mini-percutaneous techniques (mini-PCNL) and trends in the development of percutaneous nephrolithiasis surgery to determine their importance in the treatment of kidney stones.

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The authors declare that there are no conflicts of interest present.