第四代EMS经皮肾镜治疗婴幼儿上尿路感染性结石体会  

Application of the fourth generation of EMS and percutaneous nephrolithotomy in treat- ment of infant urinary infection stones

作　　者：齐飞波[1] 王英刚[1] 亚力坤[1] 王乾[1] 艾合买提[1] 刘亮[1] 孙敏[1] 史振峰[1] 

机构地区：[1]新疆自治区人民医院泌尿三科,乌鲁木齐830002

出　　处：《国际泌尿系统杂志》2012年第2期186-188,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨应用第四代EMS经皮肾镜取石术（PCNL）治疗婴幼儿上尿路感染性结石的临床疗效和安全性。方法回顾性分析48例PCNL使用第四代EMS治疗上尿路感染性结石的患儿资料。男22例，女26例；年龄1-13岁，平均9岁。右侧25例，左侧23例；结石最大2．4cm×3．1cm，最小0．7cm×1．0cm。结果PCNL术后结石完全清除43例（89．6％），Ⅱ期PCNL取石3例（6．3％）。术后体外震波碎石术（ESWL）2例（4．2％）。术中无患者输血，平均住院时间9．6天，6例（12．5％）出现术后发热，全组病例均未出现严重感染性休克、大出血、肾动静脉瘘及邻近脏器损伤等并发症。结论第四代EMS联合PCNL是治疗婴幼儿上尿路感染性结石安全有效的方法。Objectives To evaluate the clinical efficacy and safety of fourth generations of EMS and the percutaneons nephrolithotomy lithotomy （PCNL） treatment for infant urinary tract infection stones. Methods Retrospectively analyzed 48 cases of fourth generations of EMS and PCNL treatment for urinary tract stones. 22 eases were male,26 eases were female,aged 1 to 13years,with an average age of 9 years. The right side was in 25 cases, leftin23 cases,the largest stone was2.4cm × 3.1cm,the smallest 0. 7cm ×1.0cm. Results 43 cases （89. 6% ） were completely removed after treatment,3 cases did stage II PCNL,2 cases was combined with external shock wave lithotripsy （ESWL）. No patients was for blood transfusion,the average hospital stay was 9.6 days,6 eases （ 12. 5% ） had postoperative low fever,the whole cases had no septic shock , serious bleeding, renal arteriovenons fistula and adjacent complications such as organdamage. Conclusions Fourth generations of EMS combined with PCNL is a safe, high - efficient with less lesion method for the treatment of infant urinary tract infection stones.

关 键 词：尿路结石 外科手术 内窥镜 

分 类 号：R726.9[医药卫生—儿科]