疑难病杂志Issue(10)：1031-1033,1037,4.DOI:10.3969/j.issn.1671-6450.2014.10.013
微创经皮肾镜取石术治疗儿童上尿路结石39例疗效分析
Minimally invasive pereutaneous nephrolithotomy with pneumatic lithotripsy for treatment of pediatric upper urinary calculi
陈文彬 1崔书平 1刘飞 1王海波 2刘永峰 1曾博文 1韩建鹏1
作者信息
- 1. 050041 河北石家庄，解放军第260医院泌尿外科
- 2. 050081 河北石家庄，白求恩医务士官学校生理学教研室
- 折叠
摘要
Abstract
Objective To investigate the effect and safety of minimally invasive percutaneous nephrolithotomy ( MPC-NL) in treatment of upper urinary tract calculi in children .Methods Retrospecitvely analyzed 39 cases(43 sides) with upper urinary tract calculi from January 2004 to April 2013 ,they were all received minimally invasive percutaneous nephrolithotomy with pneumatic lithotripsy(pneumatic lithotripsy and holmium laser ).Under the ipsilateral ureter retrograde ureteroscopy 4-6F indwelling ureteral catheter , puncture percutaneous renal target calyx established channels under B -type ultrasound guidance , pneumatic lithotripsy and holmium laser lithotripsy , X-ray films or B-type ultrasound were used to evaluate stone expulsion af-ter operation .Results One session MPCNL were successfully performed in all children .The operation time ranged from 50 to 143 (82.0 ±9.0) min, the stone clearance rate was 90.7%(39/43).Severe complications such as pneumothorax ,intraope-rative injury to adjacent organs did not occurred in all patients .Thirty-seven patients were followed up for 3-12 months,chil-dren with hydronephrosis were not aggravated , the kidney function is improved after operation , no complications occurred . Conclusion Minimally invasive percutaneous nephrolithotomy with fewer traumas , less complications , the stone clearance rate was high;it is safe and reliable to treat upper urinary tract calculi in children .关键词
微创经皮肾镜取石术/上尿路结石/儿童/气压弹道/钬激光Key words
Minimally invasive percutaneous nephrolithotomy/Upper urinary calculi/Children/Pneumatic lithotrip-sy/Holmium laser引用本文复制引用
陈文彬,崔书平,刘飞,王海波,刘永峰,曾博文,韩建鹏..微创经皮肾镜取石术治疗儿童上尿路结石39例疗效分析[J].疑难病杂志,2014,(10):1031-1033,1037,4.
