无管化经尿道输尿管镜下2微米激光治疗小儿输尿管囊肿(附33例报道)  

Treatment of tubeless transurethral ureteroscopic 2 μm laser vaporesection for ureter cyst in pediatrics (33 cases)

作　　者：韩刚[1] 沐牧[2] 张军勇[1] 陈宇东[1] 张金磊[1] 段东超[1] 孙娜[1] 马亚卿[1] 于建梅[1] 刘同伟[1] 苑海波[1] 殷晓松[1] 李春吾[1] 张倩[1] 

机构地区：[1]解放军252医院泌尿外科,河北保定071000 [2]河北农业大学艺术学院,河北保定071001

出　　处：《中国内镜杂志》2016年第12期82-84,共3页China Journal of Endoscopy

基　　金：解放军252医院院管课题基金资助项目(No:YY2012-12;No:2014252YY01)

摘　　要：目的：探讨无管化经尿道输尿管镜下2μm激光治疗小儿输尿管囊肿的可行性。方法对33例接受经尿道输尿管镜下2μm激光低位开窗术治疗的小儿输尿管囊肿病例进行回顾分析。患儿年龄3（1～7）岁。采用F8/9.8输尿管镜和2μm激光手术系统，行囊肿低位开窗术，术后不留置输尿管支架管及尿管，观察其临床效果。结果全部病例顺利完成手术，术后无明显并发症，如期出院，随访期间未见输尿管囊肿复发。结论经尿道输尿管镜下2μm激光低位开窗术治疗小儿输尿管囊肿具有出血少、操作安全简便等优点，无管化方案可进一步降低手术创伤，减轻术后不适感，加快恢复进程，是一种安全、可靠的微创手术方法。Objective To explore the feasibility of tubeless 2 μm laser vaporesection in treating pediatric ureter cysts by ureteroscopy.MethodsClinical data of 33 ureter cysts patients who received tubeless 2 μm laser vaporesections by ureteroscopy were reviewed. The median age of patients was 4 years with a range from 1 to 7 years. The operations were carried out by RevoLix 2 μm laser through ureteroscopy without ureter stents and catheters indwelling.ResultsAll operations were successfully performed. And no serious complications occurred after the operations.ConclusionsTubeless transurethral 2 μm laser treatment by ureteroscopy was a superior micro-invasive surgery method for pediatrics with ureter cysts, with advantages of little blood loss, high safety, convenient operation and infrequent complications.

关 键 词：儿童 输尿管膨出 输尿管镜 激光 无管化 

分 类 号：R726.9[医药卫生—儿科]