CAJ | 학술논문

目的总结我们应用微创经皮肾输尿管镜取石术治疗幼儿上尿路结石的经验,并且探讨其安全性和有效性.方法回顾性分析2006年10月到2 009年12月,我们应用微创经皮肾输尿管镜取石术治疗18例幼儿上尿路结石的患儿资料.所有手术均使用8.0/9.8F输尿管镜代替肾镜,12～16F的肾通道,X线定位下完成.结果其中16例患儿结石完全取净,清除率为88.9%,2例患儿需要联合ESWL治疗.平均手术时间76.5 min,平均血红蛋白下降18.7 g/L.Ⅰ期处理14例,Ⅱ期处理4例.结论微创经皮肾输尿管镜取石术治疗幼儿上尿路结石安全有效,并发症少,并且可以多次治疗.
목적 총결아문응용미창경피신수뇨관경취석술치료유인상뇨로결석적경험,병차탐토기안전성화유효성.방법 회고성분석2006년10월도2 009년12월,아문응용미창경피신수뇨관경취석술치료18례유인상뇨로결석적환인자료.소유수술균사용8.0/9.8F수뇨관경대체신경,12～16F적신통도,X선정위하완성.결과 기중16례환인결석완전취정,청제솔위88.9%,2례환인수요연합ESWL치료.평균수술시간76.5 min,평균혈홍단백하강18.7 g/L.Ⅰ기처리14례,Ⅱ기처리4례.결론 미창경피신수뇨관경취석술치료유인상뇨로결석안전유효,병발증소,병차가이다차치료.
Objective To summarize our experience of minimally invasive percutaneous nephrolithotomy (MPCNL) for preschool children with renal or proximal ureteral stones. Methods From Oct 2006 to Dec 2009,18 preschool children underwent MPCNL for renal or proximal ureteral stones in our institutions. All operations were performed with 8.0/9.8F rigid ureteroscope through a 12～16F tract under fluoroscope. Results The pelvicaliceal system was successfully approached in all patients, stones were eliminated completely after nephrolithotomy in 16 patients, while the other 2 patients need ESWL simultaneously. The mean operation time was 76.5 minutes, the mean hemoglobin decreasing was 18.7 g/L. Fourteen cases were treated immediately after their first onset, while the other 4 cases were treated at a later stage. Conclusions MPCNL is safe and effective for treating preschool children with renal or proximate ureteral stones.