CAJ | 학술논문

目的探讨经皮肾镜气压弹道联合超声碎石术治疗儿童肾结石的安全性和疗效.方法回顾性分析应用输尿管镜气压弹道碎石术治疗小儿肾结石60例66侧的临床资料.其中,男36例,女24例.年龄1～13岁,平均4.1岁.单侧肾结石54例,双侧肾结石6例.结果 60例均一期成功建立皮肾通道.一次取净结石57例侧(87.5％),Ⅱ期手术3例侧.手术时间60～165 min,平均95 min.无气胸、腹腔脏器损伤、大出血等严重并发症发生.随访3～18个月,未发生远期并发症.结论经皮肾镜气压弹道联合超声碎石术处理小儿肾脏结石创伤小、安全高效.
목적 탐토경피신경기압탄도연합초성쇄석술치료인동신결석적안전성화료효.방법 회고성분석응용수뇨관경기압탄도쇄석술치료소인신결석60례66측적림상자료.기중,남36례,녀24례.년령1～13세,평균4.1세.단측신결석54례,쌍측신결석6례.결과 60례균일기성공건립피신통도.일차취정결석57례측(87.5％),Ⅱ기수술3례측.수술시간60～165 min,평균95 min.무기흉、복강장기손상、대출혈등엄중병발증발생.수방3～18개월,미발생원기병발증.결론 경피신경기압탄도연합초성쇄석술처리소인신장결석창상소、안전고효.
Objective To assess the safety and efficacy of percutaneous nephrolithotripsy with pneumatic and ultrasonic power in pediatric renal calculi.Methods The clinical data of 60 patients treated with combination of pneumatic and ultrasonic power during percuhaneous nephrolithotripsy were retrospectively analyzed.The 60 patients had 66 renal calculi.The patients were all under 13 years old.The average age was 4.1 years(range 1-13 years).There were 54 unilateral and 6 bilateral calculi.Results The access was successfully established in all patients.Complete stone clearance was achievedin 57 kidneys in phase Ⅰ,stones from 3 kidneys were completely removed with second lithotripsy.The operative time ranged from 60-165 min,average time was 105 min.The renalfunction was not worsened and hydronephrosis was not aggravated in these patients.Conclusions The percutaneous nephrolithotripsy with pneumatic and ultrasonic power is a safe,effective treatment for pediatric renal calculi.