临床误诊误治2017，Vol.30Issue(9)：51-53,3.DOI:10.3969/j.issn.1002-3429.2017.09.020
微创经皮肾镜钬激光碎石术治疗婴幼儿上尿路结石临床效果
Clinical Efficacy of Minimally Invasive Percutaneous Nephrolithotomy with Holmium in Treatment of Infants with Upper Urinary Calculi
摘要
Abstract
Objective To investigate clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy with holmium in treatment of infants with upper urinary calculi.Methods A total of 180 infants and young children with upper urinary calculi admitted during January 2013 and January 2016 underwent minimally invasive percutaneous nephrolithotomy with holmium, and operative time, intraoperative bleeding volume, length of stay, calculi removal rate, the total effective rate and incidence rate of complications were recorded.Results All patients underwent surgeries successfully, and the operative time was 60-100 (68.24±20.36) min;intraoperative bleeding volume was 40-120 (68.64±18.32)ml;length of stay was 7-15 (10.20±3.64) d.There were 6 patients with obvious bleeding, in which 2 patients had blurry visual fields induced by bleeding, and the surgery was stopped, and then the 2 patients underwent second lithotrity;other 4 patients were given hemostasis in time during surgery to the end of the surgery.After surgery, 6 patients had fever, and they returned to normal after treatments such as antipyretic and anti infection;14 patients had slight hematuria, and the symptom was relieved later.The number of first stage calculi removal was 148 cases (82.22％), and the number of second stage calculi removal was 22 cases (12.22％), and residual stone was found in 10 cases (5.56％).The total effective rate was 97.78％ (176/180).With 3 months of follow-up, no serious complications was found in all patients.Conclusion Minimally invasive percutaneous nephrolithotomy with holmium in treatment of infants with upper urinary calculi can achieve good effect and safety.关键词
尿路结石/婴幼儿/外科手术,微创性/碎石术,激光Key words
Urinary calculi/Infant/Surgical procedures/minimally invasive/Lithotripsy/laser分类
医药卫生引用本文复制引用
马龙,王卫妮,张争春,李涛..微创经皮肾镜钬激光碎石术治疗婴幼儿上尿路结石临床效果[J].临床误诊误治,2017,30(9):51-53,3.基金项目
陕西省科技厅科技攻关项目(2013SF-09) （2013SF-09）
