可视穿刺经皮肾镜取石术在治疗幼儿肾结石中的应用

Application of micropercutaneous nephrolithotomy in the treatment of infant with kidney stones

初步探讨F4.85可视穿刺经皮肾镜取石术(micropercutaneous nephrolithotomy,Micro-perc)在幼儿肾结石中治疗的安全性及临床效果。回顾性分析2016年7月—2020年6月于兰州大学第一医院诊治的7例肾结石患儿的手术时间、重症监护室(ICU)转入率、血红蛋白下降量、术后并发症、清石率、术后住院时间等应用SPSS 21.0进行统计学分析。7列患儿均成功实施可视肾镜碎石术。手术时间为(54.77±19.32) min,重症监护室转入率0(0/7),血红蛋白下降量(3.12±1.24) g/L,术后并发症发生率14.29%(1/7),清石率为100%,术后住院时间(6.87±4.19) d。可视肾镜是治疗幼儿肾结石的一种安全、有效的方法,在幼儿肾结石的治疗中具有重要价值。

To investigate the safety and effectiveness of Fr4.8 micropercutaneous nephrolithotomy(micro-perc) in the treatment of infant with kidney stones. The operation time, ICU transfer rate, hemoglobin decrease, postoperative complications, stone-free rate and postoperative hospital stay of 7 children with renal calculi treated in First Hospital of Lanzhou University from July 2016 to June 2020 were retrospectively analyzed. SPSS 21.0 was used for statistical analysis. All the 7 cases were successfully treated by visual nephrolithotomy. The operation time was(54.77±19.32) min, and ICU transfer rate was 0(0/7). Hemoglobin reduction was(3.12±1.24) g/L, and postoperative complication rate was 14.29%(1/7). Stone removal rate was 100%, and postoperative hospital stay was(6.87±4.19) d. Micro-perc is a safe and effective method for the treatment of children’s kidney stones, which has important value in the treatment of children’s kidney stones.