摘要
目的探讨组合式输尿管软镜钬激光碎石术治疗儿童上尿路结石的疗效。方法回顾性分析2017年2月至4月的6例上尿路结石患儿行组合式输尿管软镜钬激光碎石术的临床资料。结果组合式输尿管软镜钬激光一次性结石清除率为100%,手术时间20~36 min,平均(25±2.5)min;术后住院时间3~5 d,平均(4±0.8)d;无输尿管穿孔、出血等重大并发症。随访12个月,结石无复发,输尿管无狭窄,肾脏无积水。结论组合式输尿管软镜钬激光碎石术治疗儿童上尿路结石具有创伤小、恢复快、安全有效等临床优势。
Objective To evaluate the clinical value of modular fiexible ureteroscopy cooperated holmium laser lithotripsy in the treatment of upper urinary tract stones in children. Methods From Feb. to Apr. 2017,the clinical data of 6 children with upper urinary tract stones treated with modular flexible ureteroscopy holmium laser lithotripsy were retrospectively reviewed. Results The stone-free rate after a one-stage procedure was 100%. The duration of the procedure ranged from 20 to 36 min,mean（25 ±2. 5） min. Postoperative hospital stay ranged from 3 to 5 days,mean（4 ± 0. 8） d. No major complication such as ureter perforation,and bleeding. During the follow-up of 12 months,there was no recurrence of calculi, no ureteral stricture, no hydronephrosis. Conclusions Modular flexible ureteroscopy has advantages such as less trauma,faster recovery,safe,effective for upper urinary calculi in children.
作者
蒋昌毅
叶枝能
王海峰
杨剑兵
袁梅
何星成
黄津
龚年东
王斌
柯昌兴
Jiang Changyi;Ye Zhineng;Wang Haifeng;Yang Jianbing;Yuan Mei;He Xingcheng;Huang Jin;Gong Niandong;Wang Bin;Ke Changxing(Department of Urology, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China;Department of Urology, Pu＇er City Central Hospital, Puer 665000, China;Honghe First People＇s Hospital, Mengzi 661199, China;Department of Laboratory, Kunming Children＇s Hospitall, Kunming 650034, China)
出处
《中华腔镜外科杂志（电子版）》
2018年第2期123-125,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
国家自然科学基金(81660422)
云南省医疗卫生单位内设研究结构科研基金项目(2016NS260)
昆明医科大学研究生创新基金资助项目(2017S114)
云南省医学学科带头人培养计划项目(D-201655)
关键词
组合式输尿管软镜
上尿路结石
儿童
Modular fiexible ureteroscopy
Upper urinary calculi
Children
