体外冲击波碎石治疗头孢曲松钠所致婴幼儿上尿路结石30例

目的探讨体外冲击波碎石（extracorporeal shock wave lithotripsy，ESWL）治疗头孢曲松钠所致婴幼儿上尿路结石的疗效。方法2011年6月～2012年6月，我院采用ESWL治疗30例头孢曲松钠所致婴幼儿上尿路结石。结果30例经1次碎石治疗，术后24小时内均有排石，碎石后1周复查泌尿系超声或CT，30例结石全部排出，排净率100％。8例治疗前肾功能受损者均恢复正常。术后肉眼血尿1—4次，均为淡血性。术后门诊B超随访，10例1个月，20例6—12个月，未发现肾包膜下血肿及肾萎缩等严重并发症。结论ESWL治疗头孢曲松钠所致婴幼儿上尿路结石安全有效，可迅速解除尿路梗阻，有效保护肾功能。

Extracorporeal Shock Wave Lithotripsy for Ceftriaxone Sodium-induced Upper Urinary Tract Calculi in Infants: Report of 30 Cases

] Objective To investigate the efficacy of extracorporeal shock wave lithotripsy （ ESWL ） for ceftriaxone sodium- induced upper urinary tract calculi in infants. Methods From June 2011 to June 2012, we performed ESWL on totally 30 infants with ceftriaxone sodium-induced upper urinary tract calculi. Results After one session of ESWL, the calculi were removed in 24 hours in all the patients. Re-examination with CT or B-ultrasonography in one week showed that the stone clearance rate was 100%. After the operation, the 8 patients with impaired kidney function were all recovered, and mild postoperative gross hematuria occurred for 1 to 4 times. Follow-up was carried out with B-uhrasonography at outpatients, 10 patients were followed up for one month, and the other 20 patients were followed up for 6 to 12 months, no renal subcapsular hematoma or renal atrophy occurred in any of the infants. Conclusion ESWL is safe and effective for infants with ceftriaxone sodium-induced upper urinary tract calculi. It relieves urinary obstruction quickly and can protect the renal function effectively.