经皮膀胱肾镜治疗小儿膀胱结石  

Percutaneous Cystolithotomy for Pediatric Bladder Stone

作　　者：杨立[1] 萧芝松[1] 郑宝寿[1] 文贵成[1] 

机构地区：[1]大理学院附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2013年第3期42-44,共3页Journal of Dali University

摘　　要：目的：探讨经皮膀胱肾镜碎石术在小儿膀胱结石中的应用。方法：对15例小儿膀胱结石患者的临床治疗资料进行回顾性分析。其中患儿年龄4~9（6.6±1.57）岁,膀胱结石直径1.3~3.7（2.6±0.92）cm;行耻骨上膀胱穿刺建立经皮膀胱通道,用钬激光或气压弹道击碎膀胱结石,视术中情况留置尿管。结果：所有患儿均获手术成功,手术时间20~45（32.5±6.43）min。术后早期5例患儿因留置尿管感尿道疼痛,无明显严重并发症出现。随访6~12个月,所有患儿均排尿通畅,无尿道狭窄和结石复发。结论：经皮膀胱肾镜治疗小儿膀胱结石具有安全、有效,结石清除率高等优点,可有效避免经尿道手术所致的术中技术风险、术后结石残留和尿道狭窄。Objective： To evaluate the application of percutaneous cystolithotomy in pediatric bladder stone. Methods： Fifteen boys with a mean age of 4-9 （6.6±1.57） years and mean stone diameter at 1.3-3.7 （2.6 ± 0.92） cm underwent percutaneous cystolithotomy. Patients were punctureed into the bladder above suprapubic for establish the percutaneous bladder channel, then the bladder stones were smashed with the methods of holmium laser lithotripsy or pneumatic ballistic lithotripsy. The indwelling catheter was implanted according to intraoperative situation. Total 15 cases of clinical data were conducted with retrospective analysis. Results： All 15 patients were operated successfully and the mean procedure time was 20-45 （32.5 ± 6.43 ） min. Five cases felt pain because of indwelling catheter but there were no severe complications occurred. During 6-12 months follow-up, there were no difficulties in urinating, no urethral stricture, and no stone recurrence. Conclusion： Percutaneous cystolithotomy is an effective therapy in the treatment of pediatric bladder stones, which is with less trauma, high stone removal rate. The therapy can avoid the risks induced by transurethral technique such as urethral mucosal damage, postoperative residual stones and urethral stricture.

关 键 词：小儿膀胱结石 微通道 经皮膀胱肾镜碎石 

分 类 号：R694.4[医药卫生—泌尿科学]