摘要
目的探讨微创经皮肾镜碎石取石术（MPCNL）治疗婴幼儿肾结石的安全性与疗效。方法回顾性分析10例肾结石患儿行MPCNL的临床资料。结果 10例患儿共11侧行单通道MPCNL治疗,1侧因碎石时间超过预定手术时间而行2次手术完成。经B超引导下一期建立经皮通道成功率为100%。术后全部留置肾造瘘管,5～7 d后拔除。1例女婴术后当天造瘘管脱落,出现膀胱填塞。绝大多数患儿术后均留置双J管,1个月后在小儿肾镜下拔除。1例1岁男孩拔完肾造瘘后持续漏尿,留置双J管后缓解。术中未损伤胸膜、肝脏、肠管,术后未出现输血、肾功能恶化等严重并发症。术后住院9～12 d。结石清除率90%（10/11）。结论采用MPCNL治疗婴幼儿肾结石安全有效。
Objective To investigate the clinical safety and efficacy of minimally invasive percutaneous neph- rolithotomy （MPCNL） in the treatment of infant with renal calculi. Methods Clinical data of 10 cases of patients with renal calculi was retrospectively analyzed. Results Ten patients underwent single channel MPCNL. One patient was treated for two times since over-scheduled operation time for the first time. The mini-percutaneous renal access was successfully established in all 10 patients under ultrasound guidance at first stage. The nephrostomy tube were indwelt in all patients and removed 5 to 7 days after surgery. The tube was fallen off in one female case after operation, which resulted in bladder tamponade. Double pigtail tubes were indwelt in most of patients and removed by pediatric nephroscopy one month later. A boy with one year old occurred the persistent urine leakage after the removal of the nephrostomy tube, but that was relieved after the placement of double pigtail. Pleura, liver, intestinal injury were not found in operation, no blood transfusion was performed, no deterioration of renal function occurred. The postoperative hospital stays ranged from 9 to 12 days. The Stone removal rate was 90% （10/11）. Conclusion MPCNL was a safe and effective in the treatment of infants and young children with renal calculi.
出处
《兰州大学学报（医学版）》
CAS
2015年第6期77-79,共3页
Journal of Lanzhou University（Medical Sciences）
