[1]方亮,李炯明,刘建和,等.微通道经皮膀胱取石术治疗小儿膀胱结石(附16例报告)[J].中华腔镜泌尿外科杂志(电子版),2010,(02):119-121.
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微通道经皮膀胱取石术治疗小儿膀胱结石(附16例报告)()
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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:
2010年02期
页码:
119-121
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Minimally invasive percutaneous cystolithotripsy (PCCL) for pediatric bladder stones(report of 16 cases)
作者:
方亮李炯明刘建和陈戬姜永明张劲松王光张海燕郭海翔曲彦坤杨海东周文博
昆明医学院第二附属医院微创泌尿外科,昆明,650101
关键词:
小儿膀胱结石经皮膀胱钬激光
摘要:
目的 探讨微通道经皮膀胱取石术治疗小儿膀胱结石的可行性及临床疗效. 方法 2002年5月至2009年1月,采用微通道经皮膀胱取石术对16例小儿膀胱结石进行治疗.年龄1~7岁,结石直径9~27 mm.插管全麻仰卧位,经尿道置入8F导尿管,注入生理盐水使膀胱充分充盈.于耻骨联合上1~2 cm处用18G穿刺针穿刺膀胱,置入金属导丝.8F筋膜扩张器沿导丝依次扩张皮肤至膀胱至16F,留置16F Peel-away鞘.内窥镜经工作鞘入膀胱,用钬激光或气压弹道击碎结石,碎石沿皮肤膀胱通道冲出.术毕留置12F或14F膀胱造瘘管,未留置导尿管,膀胱造瘘管术后1周拔除. 结果本组16例手术均成功,结石取净率100%.患儿无明显出血、肠管损伤等并发症发生,术后随访3~13个月,无排尿困难、无尿道狭窄发生、无结石复发. 结论微通道经皮膀胱取石术治疗小儿膀胱结石具有创伤小、痛苦少、操作简便、结石取净率高等优点,可有效避免传统开放手术的较大创伤及经尿道手术导致的术后尿道狭窄的风险.

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更新日期/Last Update: 1900-01-01