低能级体外震波碎石治疗儿童尿路结石  

Low-energy extracorporeal shockwave lithotripsy for children with urinary calculi

作　　者：贾建业[1] 叶敏[1] 陈方[1] 徐卯升[2] 谢华[2] 耿红全[2] 

机构地区：[1]上海第二医科大学新华医院泌尿外科,200092 [2]上海第二医科大学新华医院小儿外科,200092

出　　处：《中华小儿外科杂志》2005年第5期239-241,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨低能级体外震波碎石(extracorporealshockwavelithotripsy,ESWL)治疗儿童尿路结石的效果及其副作用。方法采用德国DornierCompactDelta型碎石机,碎石的能级1～2级,冲击次数350～1800次,工作电压10～11.5kV,对46例患儿行碎石治疗。结果18例肾结石1次有效(100%),22例输尿管结石,1次ESWL有效20例(90.9%),2次2例(9.1%),膀胱结石6例,5例有效(83.3%),无严重并发症。结论儿童低能级ESWL效果优于成人,不受年龄、身长和体重的限制。Objective To evaluate the effects of low-energy extracorporeal shockwave lithotripsy (ESWL) on children with urinary calculi. Methods Total of 46 children with urinary calculi underwent ESWL in our institute by using a lithotripter (Dornier Compact Delta, German). The energy levels ranged from 1 to 2, with frequencies of shock waves from 350 to 1 800 and voltage between 10 and 11.5 kilovolts. Results All renal stones in 18 children were successfully fragmented at the first trial. Out of 22 children with multiple ureteral calculi, 20 cases were successfully managed at the first treatment, and the other 2 cases needed the second ESWL. Meanwhile, the successful fragment rate of bladder stones was 83.3% (5/6). No serious complications have been found in all cases. Conclusions The satisfactory results can be gained in children with urinary calculi by using low-energy ESWL.

关 键 词：体外震波碎石治疗 尿路结石 能级 儿童 Compact ESWL 输尿管结石 严重并发症 工作电压 膀胱结石 副作用 碎石机 肾结石 

分 类 号：R726.9[医药卫生—儿科]