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目的探讨小儿先天性孤立肾上尿路结石微创经皮输尿管镜钬激光治疗的可行性和安全性。方法Ⅰ期急诊尿液引流和抗炎补液,等待肾功能恢复,Ⅱ期再行经皮输尿管镜取石术。结果 2例患儿成功取石,术后未见发热,出血,肾功能不全等并发症。结论在熟练掌握成人经皮肾镜术的情况下,进行Ⅰ期肾造瘘或输尿管置管引流,Ⅱ期微创经皮输尿管镜钬激光治疗小儿孤立肾上尿路结石具有可行性。
Objective To investigate the feasibility and safety of minimally invasive percutaneous ureteroscopic holmium laser in pediatric congenital isolated upper urinary tract calculi. Methods Ⅰ emergency urinary drainage and anti-inflammatory rehydration, waiting for the recovery of renal function, stage II transcutaneous ureteroscopic lithotripsy. Results 2 cases of children with successful stone, postoperative no fever, bleeding, renal insufficiency and other complications. Conclusion In the case of adult percutaneous nephrolithotomy, it is feasible to treat stage Ⅰ renal nephrostomy or ureteral catheter drainage and stage Ⅱ minimally invasive percutaneous ureteroscopic holmium laser to treat pediatric isolated upper urinary tract calculi.