CAJ | 학술논문

[摘要]:目的:探讨经皮膀胱肾镜碎石术在小儿膀胱结石中的应用.方法:对15例小儿膀胱结石患者的临床治疗资料进行回顾性分析.其中患儿年龄4~9(6.6±1.57)岁,膀胱结石直径1.3~3.7(2.6±0.92)cm;行耻骨上膀胱穿刺建立经皮膀胱通道,用钬激光或气压弹道击碎膀胱结石,视术中情况留置尿管.结果:所有患儿均获手术成功,手术时间20~45(32.5±6.43)min.术后早期5例患儿因留置尿管感尿道疼痛,无明显严重并发症出现.随访6~12个月,所有患儿均排尿通畅,无尿道狭窄和结石复发.结论:经皮膀胱肾镜治疗小儿膀胱结石具有安全、有效,结石清除率高等优点,可有效避免经尿道手术所致的术中技术风险、术后结石残留和尿道狭窄.
[적요]:목적:탐토경피방광신경쇄석술재소인방광결석중적응용.방법:대15례소인방광결석환자적림상치료자료진행회고성분석.기중환인년령4~9(6.6±1.57)세,방광결석직경1.3~3.7(2.6±0.92)cm;행치골상방광천자건립경피방광통도,용화격광혹기압탄도격쇄방광결석,시술중정황류치뇨관.결과:소유환인균획수술성공,수술시간20~45(32.5±6.43)min.술후조기5례환인인류치뇨관감뇨도동통,무명현엄중병발증출현.수방6~12개월,소유환인균배뇨통창,무뇨도협착화결석복발.결론:경피방광신경치료소인방광결석구유안전、유효,결석청제솔고등우점,가유효피면경뇨도수술소치적술중기술풍험、술후결석잔류화뇨도협착.
@@@@Objective:To evaluate the application of percutaneous cystolithotomy in pediatric bladder stone. Methods:Fifteen boys with a mean age of 4-9(6.6±1.57)years and mean stone diameter at 1.3-3.7(2.6±0.92)cm underwent percutaneous cystolithotomy. Patients were punctureed into the bladder above suprapubic for establish the percutaneous bladder channel, then the bladder stones were smashed with the methods of holmium laser lithotripsy or pneumatic ballistic lithotripsy. The indwelling catheter was implanted according to intraoperative situation. Total 15 cases of clinical data were conducted with retrospective analysis. Results: All 15 patients were operated successfully and the mean procedure time was 20~45(32.5±6.43)min. Five cases felt pain because of indwelling catheter but there were no severe complications occurred. During 6~12 months follow-up, there were no difficulties in urinating, no urethral stricture, and no stone recurrence. Conclusion:Percutaneous cystolithotomy is an effective therapy in the treatment of pediatric bladder stones, which is with less trauma, high stone removal rate. The therapy can avoid the risks induced by transurethral technique such as urethral mucosal damage, postoperative residual stones and urethral stricture.