摘要
目的探讨经皮肾镜气压弹道联合超声碎石术治疗儿童肾结石的安全性和疗效。方法回顾性分析应用输尿管镜气压弹道碎石术治疗小儿肾结石60例66侧的临床资料。其中，男36例，女24例。年龄1～13岁，平均4．1岁。单侧肾结石54例，双侧肾结石6例。结果60例均一期成功建立皮肾通道。一次取净结石57例侧（87．5％），Ⅱ期手术3例侧。手术时间60--65min，平均95min。无气胸、腹腔脏器损伤、大出血等严重并发症发生。随访3～18个月，未发生远期并发症。结论经皮肾镜气压弹道联合超声碎石术处理小儿肾脏结石创伤小、安全高效。
Objective To assess the safety and efficacy of percutaneous nephrolithotripsy with pneumatic and ultrasonic power in pediatric renal calculi. Methods The clinical data of 60 patients treated with combination of pneumatic and ultrasonic power during percuhaneous nephrolithotripsy were retrospectively analyzed. The 60 patients had 66 renal calculi. The patients were all under 13 years old. The average age was 4. 1 years（range 1-13 years）. There were 54 unilateral and 6 bilateral calculi. Results The access was successfully established in all patients. Complete stone clearance was achievedin 57 kidneys in phase I, stones from 3 kidneys were completely removed with second lithotripsy. The operative time ranged from 60-165 rain, average time was 105 rain. The renalfunction was not worsened and hydronephrosis was not aggravated in these patients. Conclusions The percutaneous nephrolithotripsy with pneumatic and ultrasonic power is a safe, effective treatment for pediatric renal calculi.
出处
《中华小儿外科杂志》
CSCD
北大核心
2013年第7期512-514,共3页
Chinese Journal of Pediatric Surgery
基金
江西省科技厅科技支撑计划（20132BBG70088）
关键词
肾结石
碎石术
内窥镜术
Kidney calculi
Lithotripsy
Endoscopy
