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探讨ESWL及腔道处理治疗小儿尿路结石的疗效及治疗方式。对肾、输尿管上段结石,首选ESWL;输尿管中、下段结石,经尿道输尿管镜,用APL弹道碎石机击碎结石,碎片推回肾内,停留支架再行ESWL。结果,单次ESWL后X线片示结石完全粉碎者19例,停留支架管再行ESWL者3例,本组无严重的并发症。因此,通过选用合适的腔道设备,配合规范的ESWL,可减少结石治疗过程中对小儿的伤害。
To investigate the efficacy and treatment of pediatric urolithiasis treated with ESWL and tunnel treatment. On the kidney, the upper ureteral calculi, the preferred ESWL; ureter, the lower stones, transurethral ureteroscopy, with APL ballistic crusher crushed stones, fragments pushed back to the kidney, stay stent and then ESWL. Results, a single ESWL after X-ray showed completely crushed stones in 19 cases, stent stent ESWL and then in 3 cases, the group without serious complications. Therefore, through the selection of suitable channel equipment, with the standard ESWL, can reduce the injury to children during the treatment of stones.