[1]王峰 安恒庆 阿衣丁西热牙孜旦 李佳 王玉杰.微创经皮肾镜术在婴幼儿肾结石中的应用[J].中华腔镜泌尿外科杂志(电子版),2014,(06):428-432.[doi:10.3877/cma.j.issn.1674-3253.2014.06.008 ]
　Wang Feng,An Heng qing,Ayiding Xireyazidan,et al.Minimally invasive percutaneous nephrolithotomy for the treatment of children with renal calculi[J].,2014,(06):428-432.[doi:10.3877/cma.j.issn.1674-3253.2014.06.008 ]
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微创经皮肾镜术在婴幼儿肾结石中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2014年06期
页码:
428-432
栏目:
临床研究
出版日期:
2014-12-31

文章信息/Info

Title:
Minimally invasive percutaneous nephrolithotomy for the treatment of children with renal calculi
作者:
王峰 安恒庆 阿衣丁西热牙孜旦 李佳 王玉杰
830054乌鲁木齐，新疆医科大学第一附属医院泌尿外科
Author(s):
Wang Feng;  An Heng qing;  Ayiding Xireyazidan;  Li Jia;  Wang Yu jie.
Department of Urology, the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China
关键词:
婴幼儿; 肾结石; 经皮肾镜碎石术
DOI:
10.3877/cma.j.issn.1674-3253.2014.06.008
摘要:
目的 探讨微创经皮肾镜术（ MPCNL）治疗婴幼儿肾结石的安全性和有效性。方法 回顾性分析 2008年 1月至 2012年 12月新疆医科大学第一附属医院共 234例婴幼儿肾结石病例，均行 MPCNL。其中女性 72例，男性 162例。最小 5个月，最大 3岁，年龄中位数 14个月；1岁以内 125例， 1~2岁 67例， 2~3岁 42例。结石分别位于左肾（ n=116）右肾（ n=105）和双肾（ n=13）；手术指针为结石大于 1 cm2、肾脏结石并积水、反复的泌尿系感染。在超声引导下穿刺肾盏，用小儿肾镜经 14 F通道钬激光碎石取石。结果 所有患者均单一通道取石，共建立 247个取石通道。其中包括 14 F通道 245个， 16 F通道和 12 F通道各 1个。穿刺位点第 12肋下 228例，第 11~12肋间有 19例。目标穿刺肾盏：上盏 39例、中盏 148例、下盏 60例，结石残留分别为：2例，3例，2例。平均手术时间为（ 33±10）min，总清石率 97.2%。未见明显出血及感染性休克发生，3例出现大量冲洗液外渗致腹腔。结论 对于婴幼儿肾结石， 14 F及以下单通道取石是安全有效的。

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（ 81460513）
通讯作者：王玉杰，Email：wangyj-mr@vip.sina.com
更新日期/Last Update: 2014-12-25