摘要
目的:探讨经皮肾镜微造瘘钬激光碎石术治疗小儿肾结石的方法和效果。方法:回顾性分析48例小儿肾结石患者的资料,其中男性32例,女性16例,年龄7个月～11岁,平均4.6岁,结石大小0.4～2.6 cm,所有病例均使用经皮肾镜微造瘘钬激光碎石术的方法治疗,行逆行插管造成人工肾积水,穿刺肾盏31例,肾盂17例。结果:48例患儿中42例结石一次完全清除,6例术后有残余结石,随访2～8周后均自行排出。手术操作时间38～135 min,平均62 min。术后均有不同程度肉眼血尿,其中42例术后1～3 d消失,6例拔管后1～3 d尿颜色转清,术后高热3例。平均住院9.8 d。结论:经皮肾镜微造瘘钬激光碎石术是治疗小儿肾结石安全有效的方法之一。
Objective： To preliminaril renal calculi. Methods： The clinical Y d discuss the methods and effect of mini-PCNL management for infants ata of 48 infant cases with renal calculi were retrospectively reviewed. The group consists of 16 females and 32 males, age ranged from 7 months to 11 years and mean age 4.6 years. The diameter of the calculi ranged from 0. 442.6 cm. All the 48 cases were treated with mini-PCNL, artificial hydronephrosis were caused by retrograde intubation, and then pereutaneous puncture of the renal pelvis or renal caliees （17 renal pelvis and 31 renal ealiees）. Result： The stones of 42 cases were com- pletely cleared one time and 6 cases with residual stone fragments （〈3 mm） were expeled after follow-up two to eight weeks. The operating time were from 38~135 min, average 62 min. Postoperative complica- tion consisted of gross hematuria （48/48, 42 cases symptom disappeared in postoperative 1 to 3days, 6 ca- ses had normal urine in 1 to 3 days after extubation） and fever （3 cases）. The average days of hospitaliza- tion were 9.8 days. Conclusions： Mini-PCNL could be as one of the safe and effective treatments for the in- fants renal calculi.
出处
《新疆医科大学学报》
CAS
2009年第10期1469-1471,共3页
Journal of Xinjiang Medical University
关键词
肾结石
碎石术
治疗方法
kidney calculi
lithotripsy
treatment
