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目的:探讨肋上入路微创经皮肾镜取石术(PCNL)治疗儿童肾结石的安全性和有效性。方法:回顾性分析采用PCNL治疗儿童肾结石患者54例的临床资料:54例患者根据手术入路分为A、B两组,A组29例接受12肋上穿刺入路,B组25例接受12肋下穿刺入路,对比A、B两组PCNL的手术结果及并发症情况。结果:A、B两组手术时间分别为124min和128min(P>0.05),术后结石清除率分别为91.2%和90.7%(P>0.05),术后发热例数分别为1例和2例,血气胸分别为2例和1例,两组均无严重出血或尿外渗等并发症。结论:采用肋上入路PCNL治疗儿童肾结石安全、有效。
Objective: To investigate the safety and effectiveness of minimally invasive percutaneous nephrolithotomy (PCNL) in the treatment of children with kidney stones. Methods: The clinical data of 54 patients with renal calculi treated with PCNL were retrospectively analyzed: 54 patients were divided into A and B groups according to the surgical approach, 29 patients in group A underwent 12-rib upper puncture and 25 patients in group B received 12 ribs puncture the way, compared A, B two groups of PCNL surgical results and complications. Results: The operation time of group A and B were 124 min and 128 min, respectively (P> 0.05). The stone clearance rate was 91.2% and 90.7% respectively (P> 0.05). The number of postoperative fever cases were 1 case and 2 cases , Blood pneumothorax were 2 cases and 1 case, no severe bleeding or complications such as extravasation in both groups. Conclusion: It is safe and safe to treat PCNL in children with calculi.