CAJ | 학술논문

目的探讨气压弹道碎石术治疗小儿输尿管中下段结石的临床效果及手术技巧.方法回顾性分析2009年11月至2012年1月间应用输尿管镜气压弹道碎石术治疗小儿输尿管中下段结石42例44侧的临床资料.结果本组有10例经筋膜扩张器扩张输尿管后方顺利置入输尿管镜,除1例Ⅱ期手术,均一次性成功,无1例中转开腹手术.手术时间为20～100 min.所有病例随访1～18个月,未发现大出血、感染、输尿管、尿道狭窄等并发症.结论适度的筋膜扩张,合适的灌注压等均有利于提高输尿管镜气压弹道碎石术成功率,气压弹道碎石术是小儿输尿管中下段结石的理想治疗方法.
목적 탐토기압탄도쇄석술치료소인수뇨관중하단결석적림상효과급수술기교.방법 회고성분석2009년11월지2012년1월간응용수뇨관경기압탄도쇄석술치료소인수뇨관중하단결석42례44측적림상자료.결과 본조유10례경근막확장기확장수뇨관후방순리치입수뇨관경,제1례Ⅱ기수술,균일차성성공,무1례중전개복수술.수술시간위20～100 min.소유병례수방1～18개월,미발현대출혈、감염、수뇨관、뇨도협착등병발증.결론 괄도적근막확장,합괄적관주압등균유리우제고수뇨관경기압탄도쇄석술성공솔,기압탄도쇄석술시소인수뇨관중하단결석적이상치료방법.
Objective To evaluate the efficacy and potential complications using ureteroscopy and pneumatic lithotrity for treatment of middle and lower ureteral stones in children.Methods Between November 2009 and January 2012,42 cases (44 sides) with middle or lower ureteral stones underwent ureteroscopy and pneumatic lithotripter at this center.The clinical data were retrospectively analyzed.Results The stones were fragmented and discharged in 41 children after one episode of treatment.Ten patients underwent urethral dilation and were inserted the ureteroscope.None was converted into open surgery.The operation time ranged from 20 to 100 minutes (average time,50 minutes).No severe complications including obvious hematuria,infection,ureteral and urethral stricture were noted within 1-18 months of follow-up.Conclusions Ureteroscope pneumatic lithotrity is safe and feasible for treatment of middle and lower ureteral stone in children.