临床小儿外科杂志2025，Vol.24Issue(1)：25-29,5.DOI:10.3760/cma.j.cn101785-202411030-005
经皮肾镜治疗儿童复杂性肾结石的疗效及并发症防治
Efficacy and prevention of complications in percutaneous nephrolithotomy for pediatric complex renal stones
摘要
Abstract
Objective To summarize the efficacy of percutaneous nephrolithotomy(PCNL)in the treat-ment of pediatric complex renal stones and share expriences in managing complications.Methods A retro-spective analysis was conducted on clinical data from 144 children with complex renal stones treated with PCNL at the Department of Urology,Hunan Children's Hospital(Center of Prevention and Treatment of Pediatric Uro-lithiasis,International Alliance of Urolithiasis)between June 2017 and December 2021.The cohort included 100 boys and 44 girls with a mean age of 7.3±4.2 years(range:0.4-18.0 years).Single stones were ob-served in 38 cases,while 106 cases had multiple stones.The mean stone diameter was 2.3±0.5 cm(range:1.5-3.8 cm),and all single stones exceeded 2 cm in diameter.Preoperative evaluations included urinary sys-tem ultrasound,kideny ureter bladder(KUB)X-rays,or CT scans to assess stone and anatomical conditions.Follow-ups ranged from 1 to 7 years,during which surgical time,outcomes,intraoperative and postoperative com-plications,and their management were recorded.Results The mean surgical time was 62.7±11.3 minutes(range:41-94).At 1-month postoperative review,128 cases achieved complete stone clearance(clearance rate:88.9％).At three month,131 cases achieved complete clearance(clearance rate:90.1％).Postoperative complications occurred in 16 cases(11.1％),classified according to the Clavien-Dindo system:Grade Ⅰ in 1 case,Grade Ⅱ in 13 cases,and Grade Ⅲ in 2 cases.No Grade Ⅳ or higher complications were reported.Conclusions PCNL is highly effective in treating pediatric complex renal stones,offering high stone clearance rates.It is currently the preferred treatment method,with manageable complications.Proper and timely interven-tions for complications can prevent major risks.关键词
儿童/复杂性肾结石/经皮肾镜碎石术/并发症Key words
Child/Complex Renal Stones/Percutaneous Nephrolithotomy/Complications引用本文复制引用
李创业,赵夭望,刘李,何天衢,刘畅,谭浩,唐又山,蒋菲,吴润..经皮肾镜治疗儿童复杂性肾结石的疗效及并发症防治[J].临床小儿外科杂志,2025,24(1):25-29,5.基金项目
湖南省儿童泌尿生殖疾病临床医学研究中心(2021SK4017) （2021SK4017）
湖南省重点领域研发计划项目(2020SK211) Hunan Pediatric Urogenital Diseases Clinical Medicine Research Center(2021SK4017) （2020SK211）
Hunan Key Areas Research and Development Project(2020SK2112) （2020SK2112）
