国际医药卫生导报2016，Vol.22Issue(10)：1347-1350,4.DOI:10.3760/cma.j.issn.1007-1245.2016.10.002
喀什地区维吾尔族小儿上尿路结石3068例临床分析
Clinical analysis of 3068 cases of pediatric upper urinary tract calculi in Kashi
摘要
Abstract
Objective To investigate the clinical characteristics and treatment effect of pediatric upper urinary tract calculi in Kashi,Xinjiang.Methods A retrospective analysis was made on the clinical data of 3 068 cases (2 176 boys and 8 92 girls;26 day to 14 years old) of pediatric upper urinary tract calculi in Kashi,Xinjiang during January,2005 to December,2014.From January,2005 to May,2012,children were mainly treated with ureterolithotomy or pelvilithotomy.From July 2012 to December 2014,Ureteroscopy lithotripsy or / and minipercutaneous nephrolithotomy (MPCNL) under ultrasound-guided were mainly performed for ureterolith or nephrolithiasis.For bilateral ureter calculi caused acute renal failure,Double-J tube was implanted at first,then minimally invasive lithotripsy was underwent in stable condition.Follow up examinations,including blood and urine analysis and ultrasound were performed 3,6,and 12 months after the operation.Results Among these cases,69.59％ had renal calculus and 20.53％ ureteral calculus.76.56％ were radioparent calculus and 23.44％ radiopaque calculus.The calculus diameter ranged from 0.5 cm to 4.8 cm.1 503 cases undertook open surgery,1 243 minimally invasive lithotripsy,and 292 conservative treatment.26 cases got poor prognosis.The operation time,bleeding volume,postoperative feeding time,and hospital stay were better in the minimally invasive lithotripsy group than in the open surgery group;however,there were no statistical differences in calculus-free rate and poor prognosis between these two groups.The patients were followed up 6 months to 2 years,231cases (21.96％) recurred calculus and 64 cases (6％) got postoperative renal atrophy;there were no statisticaldifferences between these two groups.Conclusions Most pediatric upper urinary tract calculi in Kashi,Xinjiangare radioparent.Ureteroscopy lithotripsy and mini-percutaneous nephrolithotomy are safe,feasible,and effectivein the management of pediatric upper urinary tract calculi.For cases complicated acute renal dysfunction,stagingsurgery is suggested.关键词
维吾尔族/小儿/上尿路结石/急性肾功能不全Key words
Uighur/Children/Upper urinary tract calculi/Acute renal insufficiency引用本文复制引用
阿布力米提·木合塔尔,艾尔肯·吐尔逊,热夏提·热合曼,阿不都卡哈尔·巴吐尔,哈日·热依丁,艾克拜尔·艾尼瓦尔,徐海,赖彩永..喀什地区维吾尔族小儿上尿路结石3068例临床分析[J].国际医药卫生导报,2016,22(10):1347-1350,4.基金项目
Project of Science and Technology in Guangdong Province (2014A020209037) 广东省科技厅农村科技领域项目(2014A020209037) （2014A020209037）
