输尿管软镜在小儿多发性肾结石治疗中的应用  

Flexible ureterorenoscopy in pediatric multiple kidney stones

作　　者：余志海[1] 刘刚[2] 唐耘熳[3] 王明和[3] 陈绍基[3] 

机构地区：[1]四川大学华西医院泌尿外科,成都610041 [2]四川大学华西医院加强医疗科,成都610041 [3]四川大学华西医院小儿外科,成都610041

出　　处：《中华小儿外科杂志》2006年第6期307-308,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨输尿管软镜在小儿多发性肾结石经肾盂切开取石术治疗中的应用价值。方法将输尿管软镜用于小儿肾多发性结石经肾盂切开取石术,术中经输尿管软镜配合气压弹道碎石,以及钳夹冲洗等方法取出结石。结果全部一次性取尽结石。输尿管软镜对肾盂肾盏内其他病变也能起到检查及治疗作用,具有对肾脏损伤小,恢复快,并发症少等优点。结论小儿多发性肾结石经肾盂切开并配合输尿管软镜治疗是一种安全有效的方法。Objective To evaluate the flexible ureterorenoscopy in nephrolithotomy of multiple kidney stones. Methods The flexible ureterorenoscopy was inserted via pelvic nephrostomy. Swisslithoclast pneumatic lithotripsy, forceps and syringe were used to remove the kidney stones. Results In all 5 patients, stones were successfully removed. This technique could also detect other pathological changes in pelvis and kidney calices which could be dealt with in the same setting. The procedure is less traumatic and has less complication. It has the advantage of fast recovery. Conclusions It is safe and effective to carry out multiple nephrolithotomy in children using the flexible ureterorenoscope. Kidney calculi; Ureteroscopy

关 键 词：肾结石 输尿管镜检 

分 类 号：R726.91[医药卫生—儿科]