经皮膀胱碎石术治疗男性小儿膀胱结石

目的评估经皮膀胱碎石术治疗男性小儿膀胱结石的可行性及临床疗效。方法2008年8月-2012年9月采用经皮膀胱碎石术对40例男性小儿膀胱结石进行治疗，年龄1－9岁，结石直径10-35mm。结果所有患儿均一次性碎石治疗成功，结石清除率100％。无大出血、感染、穿孔、尿瘘等并发症发生，术后随访1－10个月无结石复发．无远期尿道狭窄。结论经皮膀胱碎石术治疗男性小儿膀胱结石安全高效且碎石确切，值得临床推广应用。

The management of male children with bladder stones by percutaneous suprapubic cystolithotripsy （PCCL）

Objective The main objective of this paper is to evaluate the feasibility and clinical efficiency of the man- agement of male children with bladder stones by percutaneous suprapubic cystolithotripsy （PCCL）. Methods From August 2008 to September 2012,40 cases of male children with bladder stones were undergone by percutaneous suprapubic cystolithotripsy（PCCL）. The age of patients was ranged from 1 to 9 years. The size of stones was ranged from 10 to 35 mm. Results All the patients were operated successfully only once by percutaneous suprapubic eystolithotripsy（PCCL）. All the stones were eliminated at a rate of 100% and there were no over bleeding, infection ,perforation, urine fistula and other complications. During a follow-up period of 1 to 10 months there was no stone recurrence and urethral stenosis. Conclusion Percutaneous suprapubic cystolithotripsy （PCCL）is a safe,high-effect and accurate lithotripsy method for the treatment of male children with bladder stones, and it is worthy of wide application.