输尿管镜下U100激光治疗小儿尿路结石23例临床分析

Transureteroscopic U100 laser treatment of children with urinary tract stones：clinical analysis of 23 cases

目的探讨输尿管镜联合U100激光碎石治疗小儿泌尿系结石的方法和疗效。方法15例患儿行经皮肾镜穿刺建立造瘘通道，5例患儿行经膀胱穿刺建立造瘘通道，3例患儿行输尿管镜直视下U100激光碎石。结果23例患儿均获穿刺成功并采用U100激光碎石治疗。术后复查19例完全无石，成功率为82．6％，4例有残余结石，其中3例从原造瘘口二次U100激光碎石并取出，1例自行排出，手术时间平均为45min，平均住院时间8d。均无手术并发症产生。结论输尿管镜联合U100激光碎石治疗小儿尿路结石具有快速、安全、有效、创伤小、操作简单等特点。

Objective To investigate the joint ureteroscope U100 laser lithotripsy in treatment of children with urinary stone. Methods Fifteen cases of children established access ostomy through percutaneous renal puncture, 5 cases of children established access ostomy via bladder puncture, 3 patients conducted Lithotripsy under the direct observation. Results Twenty-three cases were with successful puncture and laser lithotripsy treatment. After review of 19 cases no stone was found, with a success rate of 82.6% , 4 cases with residual stones, of which 3 cases from the original ostomy and removed after second lithotripsy, and 1 case serf-discharged, surgery averaged 45 minutes, hospitalization averaged 8 days. There was no surgical complications. Conclusion The joint ureteroscope U100 laser lithotripsy treatment of children with urinary tract stones is fast, safe, effective, less traumatic, easy to operate, with ideal treatment outcomes.