CAJ | 학술논문

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.
탐토ESWL급강도처리치료소인뇨로결석적료효급치료방식.대신、수뇨관상단결석,수선ESWL;수뇨관중、하단결석,경뇨도수뇨관경,용APL탄도쇄석궤격쇄결석,쇄편추회신내,정류지가재행ESWL.결과,단차ESWL후X선편시결석완전분쇄자19례,정류지가관재행ESWL자3례,본조무엄중적병발증.인차,통과선용합괄적강도설비,배합규범적ESWL,가감소결석치료과정중대소인적상해.
Renal or upper ureteral stones were managed by ESWL,but for middle or lower ureteral stones ureteroscopic lithotripsy combined with ESWL were done.During endonrological procedure the stones were crushed and pushed back by APL lithoclast and then a stent was placed before ESWL.From Nov.1988 to Feb.1995,25 children of urolithiasis were treated with ESWL and/or endourological techniques.After ESWL,19 cases of renal or upper ureteral stones,and all of the middle or lower ureteral stones disappeared on X-ray examination without any remarkable complication.It is recommended endourology and ESWL are efficient and feasible for children with urolithiasis.It is less invasive when practised in experienced manipulation under optimal indicationa.