体外冲击波碎石治疗儿童尿路结石的疗效观察(附62例报告）

目的：探讨体外冲击波碎石(ESWL)治疗儿童尿路结石的有效性和安全性。方法：采用ESWL治疗儿童尿路结石患者62例，其中肾盂肾盏结石35例，输尿管结石22例，膀胱结石4例，移植肾结石1例。结果：62例随访3个月，结石排净59例(95．2％)，结石残留2例(3．2％)，1例无效(1．6％)，改用手术治疗。结论：ESWL治疗儿童尿路结石安全、有效，是儿童尿路结石的首选治疗方法。

Extracorporeal shock wave lithotripsy for treatment of urinary tract calculi in children (Report of 62 cases)

Objective: To evaluate the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) in the treatment of urinary calculi in children. Methods: 62 cases of paediatric urinary calculi treated with ESWL from 1989 to 2002 were analysed retrospectively and discussed with review of the literature. Of the 62 children 35 had renal, 22 had ureteral,4 had bladder and 1 had allograft renal calculi. Results:At the 3-month follow-up, the overall stone-free rate after ESWL was 95.2. Two ( 3.2) cases have residual fragments. One ( 1.6) was failure then treated with open surgery.The voltage and shock wave index for children were much lower than that for adults.stone was quickly and smoothly released with little complications. Conclusions: ESWL is a safe and effective treatment for paediatric urolithiasis, so it should be considered the first choice to treat paediatric urinary calculi.