输尿管镜取石术治疗小儿输尿管结石26例报告  

Treatment of ureteral stone with ureteroscopy in children(Report of 26 cases)

作　　者：刘星明[1] 任胜强[1] 邬旭明[1] 袁鹤胜[1] 蔡雅富[1] 桑乾宏[1] 方建军[1] 梁宇[1] 王强辉[1] 

机构地区：[1]解放军第113医院泌尿外科,浙江宁波315040

出　　处：《临床泌尿外科杂志》2006年第3期188-189,共2页Journal of Clinical Urology

摘　　要：目的：探讨输尿管镜取石术治疗小儿输尿管结石的临床效果。方法：对26例小儿输尿管结石患者采用输尿管镜下气压弹道碎石或钬激光碎石进行治疗。结果：输尿管镜直视下1次操作成功24例，成功率84．5％，4～6周内结石全部排净。发生并发症4例，其中输尿管穿孔2例，采取保守治疗痊愈，随访10～12个月未发现输尿管狭窄；泌尿系感染2例。结论：输尿管镜取石术是治疗小儿输尿管结石理想、安全。Objective：To investigate the therapeutic efficacy of ureteral stone with ureteroscopy and pneumatic lithotriptor or Trimedyne OmniPulse HozYAG lithotriptor, in children. Methods：Totally 26 patients with ureteral stones were treated with the above-mentioned lithotriptor. Results：In this group, 24 cases were cured in one-stage and the stone free rate was 100% within four to six weeks. Complications were noted in 4 patients： perforation in 2 cases who were cured conservativelly without ureteral stricture during 10 to 12 monthes follow up, urinary tract infection in 2 cases. Conclusions：Ureteroscopy is a safe and effective way to treat the ureteral stone in children.

关 键 词：输尿管结石 内窥镜术 碎石术 儿童 

分 类 号：R693[医药卫生—泌尿科学]