{"id":32574,"date":"2026-09-11T18:42:00","date_gmt":"2026-09-11T22:42:00","guid":{"rendered":"https:\/\/www.rigicon.com\/?post_type=glossary-term&p=32574"},"modified":"2026-09-12T06:12:00","modified_gmt":"2026-09-12T10:12:00","slug":"%ea%b2%bd%ed%94%bc%ec%a0%81-%ec%8b%a0%ea%b2%b0%ec%84%9d%ec%a0%9c%ea%b1%b0%ec%88%a0-pcnl","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/ko\/glossary-term\/%ea%b2%bd%ed%94%bc%ec%a0%81-%ec%8b%a0%ea%b2%b0%ec%84%9d%ec%a0%9c%ea%b1%b0%ec%88%a0-pcnl\/","title":{"rendered":"\uacbd\ud53c\uc801 \uc2e0\uacb0\uc11d\uc81c\uac70\uc220 (PCNL)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-32574","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>\uacbd\ud53c\uc801 \uc2e0\uacb0\uc11d\uc81c\uac70\uc220(PCNL)\uc740 \uc2e0\uc7a5 \uacb0\uc11d\uc774 \uc790\uc5f0\uc801\uc73c\ub85c \ubc30\ucd9c\ub418\uc9c0 \uc54a\uc744 \ub54c \uccb4\uc678\ub85c \uc81c\uac70\ud558\uae30 \uc704\ud574 \uc2dc\ud589\ub418\ub294 \ucd5c\uc18c \uce68\uc2b5\uc801 \uc218\uc220 \uc808\ucc28\uc785\ub2c8\ub2e4.<sup>1<\/sup> &#8220;\uacbd\ud53c\uc801&#8221;\uc774\ub77c\ub294 \uc6a9\uc5b4\ub294 \ud53c\ubd80\ub97c \ud1b5\ud55c\ub2e4\ub294 \uc758\ubbf8\uc785\ub2c8\ub2e4. \uc774 \uc2dc\uc220\uc740 \ub4f1 \ucabd \ud53c\ubd80\uc5d0\uc11c \uc2e0\uc7a5\uc73c\ub85c \uc774\uc5b4\uc9c0\ub294 \ud1b5\ub85c\ub97c \ub9cc\ub4e0 \ud6c4, \uc678\uacfc\uc758\uac00 \uc791\uc740 \uad00\uc744 \ud1b5\ud574 \ud2b9\uc218 \uae30\uad6c\ub97c \uc0bd\uc785\ud558\uc5ec \uc2e0\uc7a5 \ub0b4 \uacb0\uc11d\uc758 \uc704\uce58\ub97c \ud655\uc778\ud558\uace0 \uc81c\uac70\ud558\ub294 \ubc29\uc2dd\uc73c\ub85c \uc9c4\ud589\ub429\ub2c8\ub2e4.<sup>1<\/sup> PCNL\uc740 \uc8fc\ub85c \ud06c\uae30\uac00 \ud070 \uacb0\uc11d(&gt;2 cm), \uc0ac\uc2b4\ubfd4 \uacb0\uc11d(\uc9d1\ud569\uad00 \uacc4\ud1b5\uc758 \uc5ec\ub7ec \ubd84\uc9c0\ub97c \ucc28\uc9c0\ud558\ub294 \uacb0\uc11d)\uc774 \uc788\uac70\ub098, \uccb4\uc678\ucda9\uaca9\ud30c\uc1c4\uc11d\uc220 \ub610\ub294 \uc694\uad00\uacbd\ud558 \uacb0\uc11d\uc81c\uac70\uc220\uacfc \uac19\uc740 \ub35c \uce68\uc2b5\uc801\uc778 \uc2dc\uc220\uc774 \ubd88\uac00\ub2a5\ud558\uac70\ub098 \uc2e4\ud328\ud55c \uacbd\uc6b0\uc5d0 \uc8fc\ub85c \uc801\uc751\uc99d\uc774 \ub429\ub2c8\ub2e4.<sup>1,2<\/sup> \uc774 \uae30\ubc95\uc740 \ub300\ubd80\ubd84\uc758 \ubcf5\ud569 \uc2e0\uc7a5 \uacb0\uc11d\uc5d0 \ub300\ud574 \uac1c\ubcf5 \uacb0\uc11d \uc218\uc220\uc744 \ub300\uccb4\ud558\uc5ec, \uc218\uc220\uc801 \uc678\uc0c1\uc744 \ucd5c\uc18c\ud654\ud558\uba74\uc11c\ub3c4 \uc644\uc804\ud55c \uacb0\uc11d \uc81c\uac70 \uc131\uacf5\ub960\uc744 \ub192\uc774\uace0 \uc788\uc2b5\ub2c8\ub2e4.<sup>3<\/sup><\/p>\n","gt-synonyms":"PCNL, Percutaneous Nephrolithotripsy, \uacbd\ud53c\uc801 \uc2e0\uc1c4\uc11d\uc220, \uacbd\ud53c\uc801 \uc2e0\uc7a5 \uacb0\uc11d \uc81c\uac70\uc220, \uacbd\ud53c\uc801 \uc2e0\uacb0\uc11d \uc218\uc220","gt-citation":"[1] Mayo Clinic Staff. Percutaneous nephrolithotomy. Mayo Clinic. 2024. DOI: https:\/\/www.mayoclinic.org\/tests-procedures\/percutaneous-nephrolithotomy\/about\/pac-20385051\n\n[2] Johns Hopkins Medicine. Percutaneous Nephrolithotomy (PCNL). 2024. DOI: https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/percutaneous-nephrolithonomy-pcnl\n\n[3] Khalil MAU, Patujo YH, Ullah F, et al. An Analysis of Percutaneous Nephrolithotomy (PCNL) Performed at the Institute of Kidney Disease, Pakistan: Stone Clearance and Complications. Cureus. 2024;16(12):e75430. DOI: 10.7759\/cureus.75430\n\n[4] Zhang FBY, Lin WR, Yang S, et al. Outcomes of percutaneous nephrolithotomy versus open stone surgery for patients with staghorn calculi. Urological Science. 2017;28(2):97-100. DOI: https:\/\/doi.org\/10.1016\/j.urols.2017.02.001","gt-clinical-context":"<p>\uacbd\ud53c\uc801 \uc2e0\uacb0\uc11d\uc81c\uac70\uc220\uc740 \ud2b9\uc815 \ud658\uc790 \uc120\ud0dd \uae30\uc900\uacfc \uc608\uc0c1\ub418\ub294 \uacb0\uacfc\ub97c \ubc14\ud0d5\uc73c\ub85c \uc5ec\ub7ec \uc784\uc0c1\uc801 \uc0c1\ud669\uc5d0\uc11c \uc2dc\ud589\ub429\ub2c8\ub2e4. \uc774 \uc2dc\uc220\uc740 \uc77c\ubc18\uc801\uc73c\ub85c \uc2e0\uc7a5 \uacb0\uc11d\uc758 \uc9c1\uacbd\uc774 2 cm\ubcf4\ub2e4 \ud070 \uacbd\uc6b0, \uc2e0\uc7a5 \uc9d1\ud569\uad00 \uacc4\ud1b5\uc758 \uc5ec\ub7ec \ubd84\uc9c0\ub97c \ub9c9\ub294 \uc0ac\uc2b4\ubfd4 \ud615\ud0dc\ub97c \ud615\uc131\ud55c \uacbd\uc6b0, \uc694\uad00(\uc2e0\uc7a5\uacfc \ubc29\uad11\uc744 \uc5f0\uacb0\ud558\ub294 \uad00)\uc5d0 \ud070 \uacb0\uc11d\uc774 \uc788\ub294 \uacbd\uc6b0 \ub610\ub294 \ub35c \uce68\uc2b5\uc801\uc778 \ub2e4\ub978 \uce58\ub8cc\ubc95\uc774 \uc2e4\ud328\ud55c \uacbd\uc6b0\uc5d0 \uad8c\uc7a5\ub429\ub2c8\ub2e4.<sup>1<\/sup><\/p>\n<p>\uc218\uc220 \uc808\ucc28\ub294 \ub2e4\uc74c\uacfc \uac19\uc740 \uc8fc\uc694 \ub2e8\uacc4\ub85c \uad6c\uc131\ub429\ub2c8\ub2e4: \uba3c\uc800 \ud658\uc790\uc5d0\uac8c \uc804\uc2e0 \ub9c8\ucde8\ub97c \uc2dc\ud589\ud569\ub2c8\ub2e4. \uc601\uc0c1 \uc720\ub3c4 \ud558\uc5d0 \ud2b9\uc218 \ubc14\ub298\uc744 \ud53c\ubd80\ub97c \ud1b5\ud574 \uc2e0\uc7a5\uc758 \uc18c\ubcc0 \uc218\uc9d1 \uacf5\uac04(\uc2e0\ubc30)\uc73c\ub85c \uc0bd\uc785\ud569\ub2c8\ub2e4.<sup>1<\/sup> \uc774 \ubc14\ub298 \uacbd\ub85c\ub294 \ub0a8\uc740 \uc2dc\uc220 \uacfc\uc815\uc758 \ud1b5\ub85c\uac00 \ub429\ub2c8\ub2e4. \uc774 \uacbd\ub85c\ub97c \ub530\ub77c \uad00(\uc678\ud53c, sheath)\uc744 \ubc30\uce58\ud558\uace0, \uc774\ub97c \ud1b5\ud574 \ud2b9\uc218 \uae30\uad6c\ub97c \ud1b5\uacfc\uc2dc\ucf1c \uacb0\uc11d\uc744 \ubd84\uc1c4\ud558\uace0 \uc81c\uac70\ud569\ub2c8\ub2e4.<sup>1<\/sup> \uc77c\ubd80 \uc0ac\ub840\uc5d0\uc11c\ub294 \ud68c\ubcf5 \uae30\uac04 \ub3d9\uc548 \uc2e0\uc7a5\uc5d0\uc11c \uc9c1\uc811 \uc18c\ubcc0\uc774 \ubc30\ucd9c\ub420 \uc218 \uc788\ub3c4\ub85d \uc2e0\ub8e8\uad00\uc744 \uc77c\uc2dc\uc801\uc73c\ub85c \uc720\uce58\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<sup>1<\/sup><\/p>\n<p>\ud658\uc790 \uc120\ud0dd \uae30\uc900\uc5d0\ub294 \uacb0\uc11d\uc758 \ud06c\uae30, \uc704\uce58, \uc131\ubd84 \ubc0f \uc774\uc804 \uce58\ub8cc \ubcd1\ub825\uc5d0 \ub300\ud55c \uace0\ub824\uac00 \ud3ec\ud568\ub429\ub2c8\ub2e4. \ucd9c\ud608 \uc7a5\uc560, \ud65c\uc131 \uc694\ub85c \uac10\uc5fc \ub610\ub294 \ud574\ubd80\ud559\uc801 \uc774\uc0c1\uc774 \uc788\ub294 \ud658\uc790\ub294 \ud2b9\ubcc4\ud55c \uc8fc\uc758\uac00 \ud544\uc694\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<sup>2<\/sup> \uc608\uc0c1\ub418\ub294 \ud68c\ubcf5 \uc77c\uc815\uc740 \uc77c\ubc18\uc801\uc73c\ub85c 1-2\uc77c\uac04\uc758 \uc785\uc6d0\uc744 \ud3ec\ud568\ud558\uba70, 2-4\uc8fc \ub3d9\uc548\uc740 \ubb34\uac70\uc6b4 \ubb3c\uac74\uc744 \ub4e4\uac70\ub098 \uaca9\ub82c\ud55c \ud65c\ub3d9\uc744 \ud53c\ud574\uc57c \ud569\ub2c8\ub2e4.<sup>1<\/sup> \ub300\ubd80\ubd84\uc758 \ud658\uc790\ub294 \uc57d 1\uc8fc\uc77c \ud6c4\uc5d0 \uc77c\uc0c1 \uc5c5\ubb34\ub85c \ubcf5\uadc0\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<sup>1<\/sup><\/p>\n<p>PCNL\uc758 \uc131\uacf5\ub960\uc740 \uc77c\ubc18\uc801\uc73c\ub85c \ub192\uc73c\uba70, \uc5f0\uad6c\uc5d0 \ub530\ub974\uba74 \ud45c\uc900 \uc0ac\ub840\uc5d0\uc11c 75-80%\uc758 \uc644\uc804 \uacb0\uc11d \uc81c\uac70\uc728(stone-free rate)\uc744 \ubcf4\uace0\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4.<sup>3<\/sup> \uadf8\ub7ec\ub098 \uacb0\uc11d\uc758 \uc704\uce58\uc640 \uac19\uc740 \uc694\uc778\uc740 \uacb0\uacfc\uc5d0 \uc0c1\ub2f9\ud55c \uc601\ud5a5\uc744 \ubbf8\uce60 \uc218 \uc788\uc73c\uba70, \ud558\uc2e0\ubc30 \uacb0\uc11d\uc740 \uc0c1\uc2e0\ubc30 \ub610\ub294 \uc911\uc2e0\ubc30 \uacb0\uc11d\uc5d0 \ube44\ud574 \uc81c\uac70\uc728\uc774 \ub0ae\uac8c(\uc57d 50%) \ub098\ud0c0\ub0a9\ub2c8\ub2e4.<sup>3<\/sup> \ud569\ubcd1\uc99d \ubc1c\uc0dd\ub960\uc740 \uc57d 15-20%\uc774\uba70 \ub300\ubd80\ubd84\uc740 \uacbd\ubbf8\ud569\ub2c8\ub2e4(Clavien-Dindo \ub4f1\uae09 I-II).<sup>3<\/sup> \uc8fc\uc694 \ud569\ubcd1\uc99d(\ub4f1\uae09 III-IV)\uc740 \uc57d 4-5%\uc758 \uc0ac\ub840\uc5d0\uc11c \ubc1c\uc0dd\ud569\ub2c8\ub2e4.<sup>3<\/sup><\/p>\n","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":true,"gt-view-count":0},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\uacbd\ud53c\uc801 \uc2e0\uacb0\uc11d\uc81c\uac70\uc220 (PCNL): \uc2e0\uc7a5 \uacb0\uc11d \uc81c\uac70 \uc218\uc220<\/title>\n<meta name=\"description\" content=\"\uacbd\ud53c\uc801 \uc2e0\uacb0\uc11d\uc81c\uac70\uc220(PCNL)\uc740 \ub4f1 \ubd80\uc704\uc758 \uc791\uc740 \uc808\uac1c \ud1b5\ub85c\ub97c \ud1b5\ud574 \ud06c\uae30\uac00 \ud070 \uc2e0\uc7a5 \uacb0\uc11d\uc744 \uc548\uc804\ud558\uac8c \ubd84\uc1c4 \ubc0f \uc81c\uac70\ud558\ub294 \ucd5c\uc18c \uce68\uc2b5\uc801 \uc218\uc220 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