广西医学2017，Vol.39Issue(6)：776-778,3.DOI:10.11675/j.issn.0253-4304.2017.06.06
侧卧位单通道微创经皮肾镜碎石取石术治疗儿童肾结石的临床分析
Clinical analysis on single-channel minimally invasive percutaneous nephrolithotomy in lateral position for treatment of renal calculi in children
摘要
Abstract
Objective To explore the clinical efficacy and safety of single-channel minimally invasive percutaneous nephrolithotomy(MPCNL) in lateral position for the treatment of renal calculi in children.Methods Clinical data of 16 children with renal calculi were retrospectively analyzed.All children underwent single-channel MPCNL in lateral position.The complete status of surgery,stone removal,postoperative extubation and incidence of complications were observed.Results The operation time was 81.4±22.8 minutes(range 40-125 minutes),and the hemoglobin decreased 14.8±9.0 g/L(range 2-33 g/L) after surgery.One-stage MPCNL was completed in 15 children.Thirty children(81.25%) were completely stone-free after a single MPCNL.Of 3 children(18.75%)with postoperative residual stone,one was stone-free after a second stage MPCNL,the other two were stone-free after extracorporeal shock wave lithotripsy,and the total stone removal rate of MPCNL was 87.5%(14/16).No renal laceration,pleura and intra-abdominal organ injury,deterioration of renal function,perirenal infection or pyemia occurred in any children.During the follow-up of 1 month to 3 years,no complications such as ureturostenosis,ureteral atresia,hydronephrosis aggravated or renal damage occurred.Conclusion Single-channel MPCNL in lateral position is a safe and effective therapeutic approach for renal calculi in children.关键词
肾结石/微创经皮肾镜碎石取石术/单通道/侧卧位/小儿Key words
Renal calculi/Minimally invasive percutaneous nephrolithotomy/Single channel/Lateral position/Children分类
医药卫生引用本文复制引用
李超文,黄勇平,黄群,孟冬冬,黄华武,吴军,韦高猛,吴诗章,黄敏玉..侧卧位单通道微创经皮肾镜碎石取石术治疗儿童肾结石的临床分析[J].广西医学,2017,39(6):776-778,3.基金项目
国家青年科学基金(81600541) （81600541）
