期刊文献+

同期双侧超微经皮肾镜取石术治疗小儿上尿路结石10例报告 预览

Simultaneous bilateral super-mini percutaneous nephrolithotomy in the treatment of pediatric bilateral upper urinary tract stones (report of 10 cases)
在线阅读 下载PDF
分享 导出
摘要 目的探讨同期双侧超微经皮肾镜取石术(SBSMP)在学龄前儿童和婴幼儿双肾结石治疗中的安全性及疗效。方法回顾性分析喀什地区第一人民医院从2015年10月至2017年1月应用SBSMP治疗10例小儿双侧上尿路结石的临床资料。结果9例均同期成功完成双侧手术,1例第2术侧因穿刺困难终止手术。总手术时间平均(41.4±13.78)min。术后均无发热,术中术后均未输血,1例(一侧完全无管化另一侧部分无管化)患儿术后部分无管化侧的输尿管外支架管脱落,出现无尿,给予利尿、拆切口缝合线引流等处理后自行好转,余患儿均无严重并发症发生。术后1周内复查取净双侧结石7例,清石率70%(7/10);3例发现残余结石,3个月后复查2例自行排出,总清石率90%(9/10),一侧肾结石复发1例。结论合理选择病例,足够经验的泌尿外科医生应用SBSMP治疗学龄前儿童和婴幼儿双侧上尿路结石安全可行。 Objective To evaluate the efficacy and safety of simultaneous bilateral super-mini percutaneous nephrolithotomy (SBSMP) in the treatment of preschool children and infants with bilateral upper urinary tract stones. Methods The clinical data of 10 pediatric cases with bilateral upper urinary tract stones treated with SBSMP during Oct.2015 and Jan.2017 were retrospectively analyzed. Results Altogether 9 cases successfully completed SBSMP,while 1 terminated the procedure due to puncture difficulties on the second side of the operation.The average operation time was (41.4±13.78) min.No fever occurred after the operation,and no blood transfusion was needed during or after the operation.Anuria happened in 1 case with tubeless SBSMP due to the falling-off of the uretral stent.After diuretics were given and the stiches were removed from the incision to drain urine,the child recovered well without any other interventions.No serious complications were observed in the other 9 cases.The stone-free rate was 70 %(7/10) 1 week after the operation,and 90 %(9/10) 3 months after the operation.Recurrence was observed in 1 case 1 month after operation. Conclusion SBSMP is safe,feasible and effective in the treatment of preschool children and infants with upper urinary tract stones if performed by experienced urologists.It can significantly reduce the medical expenses and exposure to anesthesia.
作者 加素尔·巴吐尔 徐海 阿力木江·阿布来孜 艾尼瓦尔·艾尔肯 伊尔范·压力坤 阿衣丁·西热牙孜旦 艾尔肯·吐尔逊 王玉杰 Jesur BATUR;XU Hai;Alimujiang ABULAIZI;Ainiwaer AIERKEN;Yierfan YALIKUN;Ayiding XIREYAZIDAN;Aierken TUERXUN;WANG Yu-jie(Department of Urology,The First People s Hospital of Kashgar Area,Kashgar 844000;People s Hospital of Jiashi County,Jiashi 844300;Center of Urology,First Teaching Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处 《现代泌尿外科杂志》 CAS 2019年第2期128-131,144共5页 Journal of MOdern Urology
关键词 超微经皮肾镜取石术 双肾结石 上尿路结石 小儿 同期 super-mini percutaneous nephrolithotomy bilateral renal stone upper urinary stone pediatric simultaneous
作者简介 加素尔·巴吐尔(1981-),男(维吾尔族),硕士,主治医师.研究方向:尿石症及先天畸形.E-mail:27743432@qq.com;通信作者:艾尔肯·吐尔逊,主任医师.E-mail:Arkin64@126.com;通信作者:王玉杰,主任医师,博士生导师.E-mail:wangyj-mr@vip.sina.com.
  • 相关文献

参考文献4

二级参考文献43

共引文献90

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈