摘要
儿童肾结石是一类特殊类型的泌尿系结石。治疗方式有多种选择。体外冲击波碎石对于直径<2cm的中上盏及肾盂结石优效果良好。而对于体积较大,质地较硬的结石,经皮肾镜手术是首选的治疗方式。其安全性及有效性已经被证实。近些年,软性输尿管镜也逐步应用到儿童肾结石的治疗之中,对于合适的患者采用软镜治疗可以达到良好的治疗效果。目前,儿童肾结石的腔内微创治疗已经逐步取代了开放手术,本文将着重探讨腔内微创手术在儿童肾结石中的应用。
Pediatric renal stone is a special type of urinary stones.There are many choice can be chosen today.Extracorporeal shock wave lithotripsy(ESWL)is the first-line option for most stones less than 2 cm in pelvis,upper and middle pole.But for large stones with high density,percutaneous nephrolithomy(PCNL)is a better choice.The efficiency and safety has already been proved for many years.Recent years,flexible ureteroscope is becoming an important treatment option in pediatric stones.Up tp day,the endoscopic mini-invasive surgery has almost replace the open surgery in the field of pediatric renal stone.This thesis aims to discuss the use of endoscopic surgery in pediatric renal stones.
出处
《现代泌尿外科杂志》
CAS
2015年第12期841-843,共3页
Journal of Modern Urology
关键词
小儿肾结石
腔内微创
开放手术
peditric renal stone
endoscopic
mini-invasive surgery
open surgery