小儿下尿路结石的微创治疗与护理  

TUPL and ESWL management and nursing of Lower urinary calculi in children

作　　者：郎文平[1] 余沁楠[1] 程喜字[1] 

机构地区：[1]河南省新乡医学院第一附属医院泌尿外科,河南新乡453100

出　　处：《中国民康医学》2008年第1期74-75,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:报告小儿下尿路结石的TUPL和ESWL治疗和护理,探讨其微创治疗的方法和效果。方法:回顾分析治疗小儿下尿路结石68例的临床资料,其中TUPL组35例,ESWL组33例。结果:两者的碎石成功率相似,差异无显著性(x2=1.00,P>0.05),但TUPL组1次碎石成功率及1周结石排净率高于ESWL组(P<0.05),而总并发症发生率低于ESWL组(P<0.05)。结论:TUPL优于ESWL,具有安全、高效、损伤小、并发症少等优点,可作为治疗小儿下尿路结石的首选方法。Objective：To evaluate the efficacy of transurethral ureteroseopy pneumatic lithotripsy （TUPL） and extraeoporal shock wave lithotripsy （ESWL） management of lower urinary calculi in children. Methods： We retrospectively reviewed the clinical data 68 children with lower urinary calculi who were randomly divided to two groups： 35 eases received TUPL, and the other 33 eases underwent ESWL. Results： There was no difference of total success rate of fragmentation between TuPL and ESWL group （x^2 = 1. 00, P 〉 0.05 ） ; The success rate of fragmentation and the rate of stone free after 1 week of TUPL were higher than those of ESWL （ P 〈 0. 05 ） ; The rate of total complications of TUPL was lower than that of ESWL （ P 〈 0.05 ） . Conclusions： TUPL is superior to ESWL and is the method of safety, quick recovery, minimal invasion and less complications for the management of Lower urinary calculi in chil- dren.

关 键 词：尿路结石 碎石术 儿童 护理 

分 类 号：R691.4[医药卫生—泌尿科学] R473.72[医药卫生—外科学]