小儿尿路结石的ESWL及腔道处理  

Endourological and ESWL Management of Urolithiasis in Children

作　　者：陈文中 李逊[1] 郭文键[1] 夏明义[1] 

机构地区：[1]广州医学院第一附属医院泌尿外科

出　　处：《中华小儿外科杂志》1996年第4期218-219,共2页Chinese Journal of Pediatric Surgery

摘　　要：探讨ＥＳＷＬ及腔道处理治疗小儿尿路结石的疗效及治疗方式。对肾、输尿管上段结石，首选ＥＳＷＬ；输尿管中、下段结石，经尿道输尿管镜，用ＡＰＬ弹道碎石机击碎结石，碎片推回肾内，停留支架再行ＥＳＷＬ。结果，单次ＥＳＷＬ后Ｘ线片示结石完全粉碎者１９例，停留支架管再行ＥＳＷＬ者３例，本组无严重的并发症。因此，通过选用合适的腔道设备，配合规范的ＥＳＷＬ，可减少结石治疗过程中对小儿的伤害。Renal or upper ureteral stones were managed by ESWL,but for middle or lower ureteral stones ureteroscopic lithotripsy combined with ESWL were done. During endourological procedure the stones were crushed and pushed back by APL lithoclast and then a stent was placed before ESWL.From Nov/.1988 to Feb.1995,25 children of urolithiasis were treated with ESWL and/or endourological techniques.After ESWL,19 cases of renal or upper ureteral stones,and all of the middle or lower ureteral stones disappeared on X-ray examination without any remarkable complication.It is recommended endourology and ESWL are efficient and feasible for children with urolithiasis.It is less invasive when practised in experienced manipulation under optimal indications.

关 键 词：尿道 尿路结石 体外震波碎石 儿童 

分 类 号：R726.914[医药卫生—儿科] R726.905[医药卫生—临床医学]