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目的探讨无管化经尿道输尿管镜下2μm激光治疗小儿输尿管囊肿的可行性。方法对33例接受经尿道输尿管镜下2μm激光低位开窗术治疗的小儿输尿管囊肿病例进行回顾分析。患儿年龄3(1~7)岁。采用F8/9.8输尿管镜和2μm激光手术系统,行囊肿低位开窗术,术后不留置输尿管支架管及尿管,观察其临床效果。结果全部病例顺利完成手术,术后无明显并发症,如期出院,随访期间未见输尿管囊肿复发。结论经尿道输尿管镜下2μm激光低位开窗术治疗小儿输尿管囊肿具有出血少、操作安全简便等优点,无管化方案可进一步降低手术创伤,减轻术后不适感,加快恢复进程,是一种安全、可靠的微创手术方法。
Objective To investigate the feasibility of transurethral ureteroscopic 2μm laser treatment of pediatric ureteral cyst. Methods A retrospective analysis was performed on 33 children with ureteral cyst treated with 2 μm low window laser transurethral ureteroscopy. Children aged 3 (1 to 7) years old. F8 / 9.8 ureteroscope and 2μm laser surgery system were used to perform cyst low fenestration. Ureteral stent and catheter were not placed after operation, and the clinical effect was observed. Results All patients successfully completed the operation, no significant postoperative complications, discharged on schedule, no ureteral cyst recurrence during follow-up. Conclusions Transurethral ureteroscopic 2μm low window laser for the treatment of pediatric ureteral cyst has the advantages of less bleeding and safe operation. It is safe to use a transcatheter ureteroscopic approach to reduce surgical trauma, relieve postoperative discomfort and accelerate the recovery process , A reliable minimally invasive surgical method.