摘要
目的总结采用微造瘘经皮肾镜取石术治疗儿童肾结石的经验,并评价其安全性和疗效。方法 2003年1月～2009年8月,共有115例儿童肾结石患者在该科行微造瘘经皮肾镜取石术,对其临床资料进行回顾性分析。男69例,女46例;年龄1～14岁,平均7岁。患儿取俯卧位,B超引导下建立工作通道,用气压弹道或钬激光碎石机碎石。结果 115例均一期成功建立皮肾通道,且均为单通道碎石。单纯行微创经皮肾镜取石术(mPCNL)(包括经原窦道取石14例,取净10例)100例取净结石,结石清除率约87.0%;辅助体外冲击波碎石术(ESWL)治疗11例,6例排净结石,总结石清除率达到92.2%。手术时间45～200min,平均90min。所有患者未输血,且无严重并发症。结论采用微造瘘经皮肾镜取石术治疗儿童肾结石安全有效。
【Objectives】We report our experience with mini-percutaneous nephrolithotomy （mini-PCNL） in patients in the pediatric age group and determine its safety and efficacy. 【Methods】We retrospectively reviewed the records of 115 children （69 boys and 46 girls） who underwent mini-PCNL at our center for treatment of renal calculi between January 2003 and August 2009. Mean patient age was 7 years （range 1 to 14 years）. Percutaneous access was established under ultrasound guidance with the patient in the prone position. A pneumatic or holmium laser lithotripters was used for in situ lithotripsy.【Results】The percutaneous access was successfully established in all patients. All of the patients were managed with only one tract. The stone clearance rate for mini-PCNL （inclusive of second look nephroscopy） was 87.0%. With adjunctive shock wave lithotripsy,the clearance rate increased to 92.2%. The median operative time was 90 minutes （range,45 to 200 minutes）. All patients did not receive blood transfusion,and there were no major complications. 【Conclusion】 Mini-PCNL is safe and effective in the management of pediatric renal calculi.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期395-397,共3页
China Journal of Endoscopy
关键词
肾结石
经皮肾镜取石术
儿童
kidney calculi
percutaneous nephrolithotomy
pediatrics
