论文部分内容阅读
目的:探讨输尿管镜下钬激光碎石术治疗小儿输尿管结石的有效性及安全性。方法:自2007年9月~2014年6月,武汉大学人民医院收治年龄<12周岁需手术治疗的输尿管结石患儿69例,均行输尿管镜下钬激光碎石术。结果:69例患儿中,输尿管上段结石18例,一次碎石成功率77.8%(14/18);中段结石12例,一次碎石成功率91.7%(11/12);下段结石39例,一次碎石成功率97.4%(38/39)。所有患儿术中均未出现输尿管穿孔及输尿管撕脱等严重并发症,术后血尿等并发症均在较短时间内恢复。手术成功患儿术后1~6个月复查无结石残留,患儿肾积水情况得到明显改善。结论:输尿管镜下钬激光碎石术治疗小儿输尿管结石安全有效,是目前最理想的方法,值得临床推广。
Objective: To investigate the effectiveness and safety of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi in children. Methods: From September 2007 to June 2014, 69 patients with ureteral calculi undergoing surgery under the age of 12 years were enrolled in the Wuhan University People’s Hospital. All patients underwent ureteroscopic holmium laser lithotripsy. Results: Of the 69 children, 18 cases had upper ureteral stones, the success rate of primary stone was 77.8% (14/18), middle stone was 12 cases, the success rate of primary stone was 91.7% (11/12), the lower stone was 39, The success rate of one gravel was 97.4% (38/39). No serious complications such as ureter perforation and ureteral avulsion occurred in all children. All the complications such as hematuria and postoperative recovery in a short period of time. Surgical success in children 1 to 6 months after the review of non-stone residue, children with hydronephrosis have been significantly improved. Conclusion: Ureteroscopic holmium laser lithotripsy for the treatment of ureteral stones in children is safe and effective, which is the most ideal method at present and is worthy of clinical promotion.