| 学龄前儿童尿路结石的腔内治疗 |
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| 引用本文： | 曾国华,钟文,杨后猛,桂志明,陈文忠,袁坚.学龄前儿童尿路结石的腔内治疗[J].中华外科杂志,2009,47(4). |
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| 作者姓名： | 曾国华 钟文 杨后猛 桂志明 陈文忠 袁坚 |
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| 作者单位： | 1. 广州医学院第一附属医院微创外科中心泌尿外科,510230
2. 宁波大学医学院附属医院泌尿外科 |
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| 摘 要： | 目的 评价学龄前儿童尿路结石腔内治疗的疗效与安全性.方法 2004年8月至2008年8月,28例学龄前尿路结石患儿接受腔内治疗,其中11例输尿管结石患儿接受输尿管镜取石术,17例肾结石患儿接受微创经皮肾镜取石术.结果 11例输尿管结石患儿中,5例一期输尿管镜取石术,6例一期输尿管置管被动扩张1～3周后二期8/9.8 Fr输尿管硬镜下取石成功;17例肾结石患儿均一期微创经皮肾镜取石术.结论 对有手术指征的学龄前儿童尿路结石,采用微创腔内治疗是安全可靠的.
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| 关 键 词： | 尿路结石 输尿管镜 肾造口术 经皮 |
Treatment of urinary tract calculi in preschool children with endoscopy |
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| ZENG Guo-hua,ZHONG Wen,YANG Hou-meng,GUI Zhi-ming,CHEN Wen-zhong,YUAN Jian.Treatment of urinary tract calculi in preschool children with endoscopy[J].Chinese Journal of Surgery,2009,47(4). |
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| Authors: | ZENG Guo-hua ZHONG Wen YANG Hou-meng GUI Zhi-ming CHEN Wen-zhong YUAN Jian |
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| Abstract: | Objectives To investigate the safety and feasibility of endoscopy in treating urinary tract calculi in preschool children.Methods From August 2004 to August 2008,28 preschool children with urinary tract calculi were treated by endoscopy,11 cases received ureterolithotripsy(URL) and 17 cases received minimally invasive percutaneous nephrolithotomy (MPCNL).Results Of 11 cases with ureteric calculi,5 cases were rendered stone free in the first session,the other 6 cases received passive dilation by indwelling of ureteric stents for 1 to 3 weeks and underwent successful ureteroscopy with a 8/9.8 Fr rigid ureteroscope.Seventeen cases with renal calculi received MPCNL and were rendered stone free.Conclusion Our study shows that endoscopy in treating urinary tract calculi is safe and feasible in preschool children. |
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| Keywords: | Urinary calculi Ureteroscopes Nephrostomy percutaneous |
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