|本期目录/Table of Contents|

[1]韩刚,秦伟,王伟红,等.激光辅助部分无管化经皮肾微造瘘取石术治疗小儿肾输尿管上段结石[J].医学研究与战创伤救治(原医学研究生学报),2016,18(05):508-510.[doi:10.3969/j.issn.1672-271X.2016.05.018]
　HAN Gang,QIN Wei,WANG Wei-hong,et al.Partial tubeless mini-invasive percutaneous nephrolithotomy with 2 μm laser hemostasis in treatment of renal and upper-ureteral calculi in pediatrics[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(05):508-510.[doi:10.3969/j.issn.1672-271X.2016.05.018]
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激光辅助部分无管化经皮肾微造瘘取石术治疗小儿肾输尿管上段结石()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年05期
页码:
508-510
栏目:
出版日期:
2016-09-20

文章信息/Info

Title:
Partial tubeless mini-invasive percutaneous nephrolithotomy with 2 μm laser hemostasis in treatment of renal and upper-ureteral calculi in pediatrics
作者:
韩刚; 秦伟; 王伟红; 杜钰; 陈宇东; 马亚卿; 于建梅; 孙娜; 段东超; 张金磊; 梅光明; 白新宇; 白旭青; 乔刚; 张倩
071000河北保定，解放军252医院泌尿外科
Author(s):
HAN Gang;  QIN Wei;  WANG Wei-hong;  DU Yu;  CHEN Yu-dong;  MA Ya-qing;  YU Jian-mei;  SUN Na;  DUAN Dong-chao;  ZHANG Jin-lei;  MEI Guang-ming;  BAI Xin-yu;  BAI Xu-qing;  QIAO Gang;  ZHANG Qian
Department of Urology, 252 Hospital of PLA, Baoding, Hebei 071000, China
关键词:
儿童;  经皮肾镜取石术;  激光;  无管化
Keywords:
pediatric;  percutaneous nephrolithotomy;  laser;  tubeless
分类号:
R695
DOI:
10.3969/j.issn.1672-271X.2016.05.018
文献标志码:
A
摘要:
目的 探讨2 μm激光辅助部分无管化经皮肾微造瘘取石术治疗小儿肾输尿管上段结石的可行性。方法 回顾性分析13例接受部分无管化经皮肾微造瘘取石术治疗的小儿肾输尿管上段结石病例，男8例，女5例，年龄6.5(3～14)岁，结石直径2.6(1.3～3.2)cm。超声引导下经皮肾穿刺扩张建立F16微通道，在输尿管镜下以第四代EMS系统碎石清石，术毕将逆行插入的输尿管导管头端调整到肾盂中部，缓慢撤镜并以2 μm激光对经皮肾通道彻底止血，缝合造瘘口，观察其临床效果。结果 13例顺利完成手术，术后无明显并发症，如期出院。结论 在严格掌握适应证的情况下，经皮肾微造瘘取石术治疗小儿肾输尿管上段具有疗效确切、出血少、损伤小等优点，应用2 μm激光止血的部分无管化方案可进一步提高手术安全性、减轻术后不适感，加快恢复进程。
Abstract:
Objective To explore the feasibility of partial tubeless mini-invasive percutaneous nephrolithotomy with 2 μm laser hemostasis in treatment of renal and upper-ureteral calculi in pediatrics. Methods A total of 13 children suffered from renal and upper-ureteral calculi who received partial tubeless mini-invasive percutaneous nephrolithotomy with 2 μm laser hemostasis were reviewed. The median age of patients was 6.5 years with a range from 3 to 14 years. The median max diameter of calculi was 2.6(1.3-3.2) cm. After the procedure of making mini-invasive percutaneous tracs, all calculi were smashed and cleaned by the 4th generation Swiss LithoClast Master. Then the tip of the ureteral catheter was adjusted to the center of pelvis. Finally, the hemostasis procedure was performed by RevoLix 2 μm laser. Results 13 cases of operations were successfully performed. And no serious complications occurred after the operations. All patients were discharged on time. Conclusion Partial tubeless mini-invasive percutaneous nephrolithotomy with 2 μm laser hemostasis is a superior operation with little blood loss, high safety, convenience for pediatrics with renal and upper-ureteral calculi.

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备注/Memo

备注/Memo:
解放军252医院院管课题基金资助项目(YY2012-12,2014252YY01)
更新日期/Last Update: 2016-12-09