資源描述：
《小兒尿路結(jié)石的腔內(nèi)微創(chuàng)治療》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、小兒尿路結(jié)石的腔內(nèi)微創(chuàng)治療［摘要］目的探討小兒尿路結(jié)石施行腔內(nèi)微創(chuàng)治療的臨床價(jià)值。方法對(duì)79例小兒尿路結(jié)石患者施行腔內(nèi)微創(chuàng)治療。男47例，女32例。年齡0.5-14歲,平均7.9歲。腎結(jié)石18例；輸尿管上段結(jié)石14例（陰性結(jié)石和多發(fā)性結(jié)石各1例），輸尿管中段結(jié)石2例，輸尿管下段結(jié)石10例，膀胱內(nèi)型輸尿管囊腫內(nèi)結(jié)石1例，腎結(jié)石合并輸尿管上段結(jié)石4例；膀胱結(jié)石18例；尿道結(jié)石12例（后尿道6例，前尿道6例）。結(jié)石橫徑0.5?2&m,長徑0.5?1.5cm。上尿路結(jié)石中左側(cè)24例，右側(cè)22例，雙側(cè)3例。結(jié)果30例下尿路結(jié)石、13例輸尿管中下段結(jié)石行經(jīng)輸尿管鏡碎
2、石術(shù)（URL）,1例腎盂結(jié)石、4例輸尿管上段結(jié)石行后腹腔鏡腎盂輸尿管切開取石術(shù)（RPPL/RPUL）,31例腎、輸尿管上段結(jié)石行微創(chuàng)經(jīng)皮腎鏡取石術(shù)（MPCNL）,手術(shù)均獲成功。術(shù)中、術(shù)后無嚴(yán)重不良反應(yīng)發(fā)生。結(jié)論綜合應(yīng)用各種腔內(nèi)治療技術(shù)，小兒尿路結(jié)石可以實(shí)現(xiàn)現(xiàn)代微創(chuàng)治療，并可作為一線治療的選擇。［關(guān)鍵詞］尿結(jié)石；內(nèi)窺鏡；微創(chuàng)外科手術(shù)Themini-invasiveendoscopictherapyforthepediatricurolithiasis:reportof79casesZOUXiao-feng,YUANYuan-hu,XIAORi-hai.et
3、al.DepartmentofUrology,FirstAffiliatedHospitalofGannanMedicalcollege,JiangXi,Ganzhou341000,ChinaIAbstract]ObjectiveToinvestigatetheclinicalvalueofendoscopictherapytothepediatricurolithiasis?MethodsAtotal79caseswithurolithiasiswereunderwentendoscopictherapy(47weremale,32werefemale
4、andagerangewas0.5-14years,averagewas7.9years).Ofthem,18caseswithrenalcalculi;14caseshadcalculiintheproximalpartoftheureter(each1negativecalculiandexcessivecalculi),2inthemiddlepartand10inthedistalpart;1patientwiththecalculiintheintravasicalureteralcyst;4caseshadcalculiinkidneyand
5、theproximalpartoftheureter;18caseswithvesicalcalculiand12caseswithurethralcalculi(each6casesintheanteriorurethraandposteriorurethra).Thesizeofthecalculi5swidthrangewas0.5?2.8cmandlengthrangewas0.5?1.5cm.24caseswereleft,22caseswererightand3caseswerebothsideintheupperurinarytract.R
6、esultsTheureterorenolithotripsywasperformedon30caseswithdownurinarytractcalculiand13caseswiththecalculiinthemiddlepartanddistalpart;theretroperitoneoscopicpyelolithotomy(ureterolithotomy)wasperformedon1casewithpelviccalculiand4caseswithcalculiintheproximalpartoftheureterwhile31ca
7、seswithcalculiinthekidneyandproximalpartoftheureterwereunderwentthemini-invasivepercutaneousnephrolithotomysuccessfully.Therewasnoseverecomplicationshappenedintheoperationandpostoperation.ConclusionsThemodemmini-invasivetherapycanbeachievedtothepediatricurolithiasiswithsynthesizi
8、ngallsortsofendoscopictechnologiesanditc
