论文部分内容阅读
目的:评价经尿道输尿管镜及小儿肾镜第四代碎石清石系统(EMS)治疗小儿膀胱结石及尿道结石的疗效。方法:应用输尿管镜及小儿肾镜下第四代EMS治疗膀胱结石及尿道结石患儿57例,静脉+骶管麻醉下行经尿道输尿管镜及小儿肾镜下碎石清石术。采用olympusF9.5输尿管镜或olympusF9小儿肾镜,从操作通道插入EMS气压弹道探针或超声碎石探针后,将膀胱结石及尿道结石粉碎或吸出。术后留置8F双腔气囊导尿管。结果:本组57例平均手术时间31min,术后第1天拔除导尿管并注入利多卡因胶浆,均能立即顺利排尿,收集结石碎块。3~5d后复查B超。膀胱、尿道内均无残留结石。结论:对膀胱结石及尿道结石患儿,应用输尿管镜或小儿肾镜下EMS清除结石,可以立即解除下尿路梗阻,恢复正常排尿,具有安全、高效、损伤小的优点,可作为膀胱结石及尿道结石尤其合并急性尿潴留患儿手术解除下尿路梗阻的首选方法。
Objective: To evaluate the efficacy of transurethral ureteroscopy and pediatric nephroscope fourth generation lithotripsy (EMS) in the treatment of children with bladder stones and urethral calculus. Methods: 57 cases of bladder stones and urethral calculus underwent ureteroscopy and pediatric nephroscope in the fourth generation of EMS. Transurethral ureteroscopy and pediatric nephrolithotomy lithotripsy under vein and caudal anesthesia were performed. Using olympusF9.5 ureteroscope or olympusF9 pediatric nephroscope, EMS pneumatic ballistic probe or ultrasonic lithotripsy probe inserted from the operating channel, the bladder stones and urethral calculus crushed or sucked out. Postoperative 8F double-lumen balloon catheter. Results: The average operation time of the group of 57 cases was 31min. The catheter was removed on the first day after operation and the lidocaine glue was injected. All patients were able to urinate immediately and collect stones. 3 ~ 5d after the review of B-. Bladder, urethra are no residual stones. Conclusion: For children with bladder stones and urethral calculus, ureteroscopy or pediatric nephroscope under EMS can clear the lower urinary tract obstruction and return to normal urination. It has the advantages of safety, high efficiency and less damage. It can be used as bladder stones and Urethral calculi, especially in patients with acute urinary retention surgery to relieve lower urinary tract obstruction of the preferred method.