摘要
目的探讨小儿尿路结石施行腔内微创治疗的临床价值。方法对79例小儿尿路结石患儿施行腔内微创治疗。男47例,女32例。年龄0.5～14岁,平均7.9岁。肾结石18例;输尿管上段结石14例(阴性结石和多发性结石各1例),输尿管中段结石2例,输尿管下段结石10例,膀胱内型输尿管囊肿内结石1例,肾结石合并输尿管上段结石4例;膀胱结石18例;尿道结石12例(后尿道6例,前尿道6例)。结石横径0.5～2.8 cm,长径0.5～1.5 cm。上尿路结石中左侧24例,右侧22例,双侧3例。结果30例下尿路结石、13例输尿管中下段结石行经输尿管镜碎石术(URL),1例肾盂结石、4例输尿管上段结石行后腹腔镜肾盂输尿管切开取石术(RPPL/RPUL),31例肾、输尿管上段结石行微创经皮肾镜取石术(MPCNL),手术均获成功。术中、术后无严重不良反应发生。结论综合应用各种腔内治疗技术,小儿尿路结石可以实现现代微创治疗,并可作为一线治疗的选择。
Objective To investigate the clinical value of endoscopic therapy for pediatric urolithiasis. Methods A total of 79 cases with urolithiasis underwent endoscopic therapy （47 male and 32 female,aged from 0. 5 to 14 years with a mean of 7. 9 years） in this institute. Out of 79 cases, 18 were renal calculi, 14 in the proximal ureter（1 negative calculi and 1 excessive calculi）,2 in the middle and 10 in the distal ureter, 1 in the intravesical ureteral cyst,4 had renal calculi associated proximal ureteral calculi, 18 were vesical calculi and 12 were urethral calculi（6 cases in the anterior urethra and 6 posterior urethra）. The size of stone ranged from 0. 5 to 2. 8 cm in width and 0. 5 to 1.5 cm in length. There were 49 cases with calculi in the upper urinary tract including 24 cases were in the left,22 cases right and 3 cases both side. Results Ureterorenotithotripsy was performed on 30 patients with distal urinary tract calculi and 13 patients with middle and distal ureteral calculi. One case with pelvic calculi and 4 cases with proximal ureteral calculi underwent retroperitoneoscopic pyelolithotomy （ureterolithotomy）, while 31 cases with renal and proximal ureteral calculi underwent the percutaneous nephrolithotomy. There were no serious complications during and after operations. Conclusions Endoscopic therapy is a minimally invasive and effective treatment for pediatric urolithiasis.
出处
《中华小儿外科杂志》
CSCD
北大核心
2007年第9期458-461,共4页
Chinese Journal of Pediatric Surgery
关键词
尿路结石
内窥镜
微创外科手术
Urolithiasis
Endoscopes
Minimal surgical procedures
