可视穿刺经皮肾镜取石术在治疗幼儿肾结石中的应用

哈武华; 刘迪生; 张伟

doi:10.13201/j.issn.1001-1420.2021.07.014

可视穿刺经皮肾镜取石术在治疗幼儿肾结石中的应用

- 兰州大学第一医院泌尿外科(兰州, 730000)

详细信息

通讯作者: 张伟,E-mail:zhw6461@163.com

中图分类号: R692.4

收稿日期: 2020-07-05

Application of micropercutaneous nephrolithotomy in the treatment of infant with kidney stones

- Department of Urology, First Hospital of Lanzhou University, Lanzhou, 730000, China

More Information

Corresponding author: ZHANG Wei, E-mail: zhw6461@163.com

Received Date: 05 July 2020

摘要

摘要: 初步探讨F4.85可视穿刺经皮肾镜取石术(micropercutaneous nephrolithotomy,Micro-perc)在幼儿肾结石中治疗的安全性及临床效果。回顾性分析2016年7月—2020年6月于兰州大学第一医院诊治的7例肾结石患儿的手术时间、重症监护室(ICU)转入率、血红蛋白下降量、术后并发症、清石率、术后住院时间等应用SPSS 21.0进行统计学分析。7列患儿均成功实施可视肾镜碎石术。手术时间为(54.77±19.32) min,重症监护室转入率0(0/7),血红蛋白下降量(3.12±1.24) g/L,术后并发症发生率14.29%(1/7),清石率为100%,术后住院时间(6.87±4.19) d。可视肾镜是治疗幼儿肾结石的一种安全、有效的方法,在幼儿肾结石的治疗中具有重要价值。
- 幼儿 /
- 肾结石 /
- 可视肾镜
Abstract: To investigate the safety and effectiveness of Fr4.8 micropercutaneous nephrolithotomy(micro-perc) in the treatment of infant with kidney stones. The operation time, ICU transfer rate, hemoglobin decrease, postoperative complications, stone-free rate and postoperative hospital stay of 7 children with renal calculi treated in First Hospital of Lanzhou University from July 2016 to June 2020 were retrospectively analyzed. SPSS 21.0 was used for statistical analysis. All the 7 cases were successfully treated by visual nephrolithotomy. The operation time was(54.77±19.32) min, and ICU transfer rate was 0(0/7). Hemoglobin reduction was(3.12±1.24) g/L, and postoperative complication rate was 14.29%(1/7). Stone removal rate was 100%, and postoperative hospital stay was(6.87±4.19) d. Micro-perc is a safe and effective method for the treatment of children's kidney stones, which has important value in the treatment of children's kidney stones.
- infant /
- kidney stones /
- Micro-perc

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参考文献(20)

[1]	Bonzo JR,Tasian GE.The Emergence of Kidney Stone Disease During Childhood-Impact on Adults[J].Curr Urol Rep,2017,18(6):44.
[2]	Ganpule AP,Chabra J,Desai MR."Microperc"micropercutaneous nephrolithotomy:a review of the literature[J].Urolithiasis,2018,46(1):107-114.
[3]	Demirkesen O,Onal B,Tansu N,et al.Efficacy of extracorporeal shock wave lithotripsy for isolated lower caliceal stones in children compared with stones in other renal locations[J].Urology,2006,67(1):170-174;discussion 174-175.
[4]	Onal B,Demirkesen O,Tansu N,et al.The impact of caliceal pelvic anatomy on stone clearance after shock wave lithotripsy for pediatric lower pole stones[J].JUrol,2004,172(3):1082-1086.
[5]	Ozgür Tan M,Karaoǧlan U,Sen I,et al.The impact of radiological anatomy in clearance of lower calyceal stones after shock wave lithotripsy in paediatric patients[J].Eur Urol,2003,43(2):188-193.
[6]	Corcoran AT,Smaldone MC,Mally D,et al.When is prior ureteral stent placement necessary to access the upper urinary tract in prepubertal children?[J].JUrol,2008,180(4Suppl):1861-1863;discussion 1863-1864.
[7]	Kim SS,Kolon TF,Canter D,et al.Pediatric flexible ureteroscopic lithotripsy:the children's hospital of Philadelphia experience[J].J Urol,2008,180(6):2616-2619;discussion 2619.
[8]	Assimos D.Single-Institutional Study on Role of Ureteroscopy and Retrograde Intrarenal Surgery in Treatment of Pediatric Renal Calculi Comment[J].J Urol,2009,181(3):1209-1209.
[9]	Tanaka ST,Makari JH,Pope JC 4th,et al.Pediatric ureteroscopic management of intrarenal calculi[J].JUrol,2008,180(5):2150-2153;discussion 2153-2154.
[10]	Erkurt B,Caskurlu T,Atis G,et al.Treatment of renal stones with flexible ureteroscopy in preschool age children[J].Urolithiasis,2014,42(3):241-245.
[11]	Li J,Xiao J,Han T,et al.Flexible ureteroscopic lithotripsy for the treatment of upper urinary tract calculi in infants[J].Exp Biol Med(Maywood),2017,242(2):153-159.
[12]	Desai MR,Kukreja RA,Patel SH,et al.Percutaneous nephrolithotomy for complex pediatric renal calculus disease[J].J Endourol,2004,18(1):23-27.
[13]	Boormans JL,Scheepe JR,Verkoelen CF,et al.Percutaneous nephrolithotomy for treating renal calculi in children[J].BJU Int,2005,95(4):631-634.
[14]	Dawaba MS,Shokeir AA,Hafez A,et al.Percutaneous nephrolithotomy in children:early and late anatomical and functional results[J].J Urol,2004,172(3):1078-1081.
[15]	Guven S,Istanbulluoglu O,Gul U,et al.Successful percutaneous nephrolithotomy in children:multicenter study on current status of its use,efficacy and complications using Clavien classification[J].J Urol,2011,185(4):1419-1424.
[16]	李建兴,肖博.经皮肾镜手术通道的发展与创新[J].临床泌尿外科杂志,2020,35(9):679-683.
[17]	Tepeler A,Akman T,Silay MS,et al.Comparison of intrarenal pelvic pressure during micro-percutaneous nephrolithotomy and conventional percutaneous nephrolithotomy[J].Urolithiasis,2014,42(3):275-279.
[18]	Hatipoglu NK,Sancaktutar AA,Tepeler A,et al.Comparison of shockwave lithotripsy and microperc for treatment of kidney stones in children[J].J Endourol,2013,27(9):1141-1146.
[19]	Karatag T,Tepeler A,Silay MS,et al.A Comparison of 2 Percutaneous Nephrolithotomy Techniques for the Treatment of Pediatric Kidney Stones of Sizes 10-20mm:Microperc vs Miniperc[J].Urology,2015,85(5):1015-1018.
[20]	Daggülli M,UtangaçMM,Dede O,et al.Micro-percutaneous nephrolithotomy in the treatment of pediatric nephrolithiasis:A single-center experience[J].J Pediatr Surg,2016,51(4):626-629.