经皮膀胱肾镜治疗小儿膀胱结石.pdf

大理学院学报 第12卷 第3期 2013年3月 JOURNAL OF DALI UNIVERSITY Vol.12 No.3 Mar. 20 13 ［DOI ］10. 3969 / j. issn. 1672-2345. 2013. 03. 012 经皮膀胱肾镜治疗小儿膀胱结石 杨 立， 芝松，郑宝寿，文贵成 （大理学院附属医院，云南大理 671000 ） ［摘要］目的：探讨经皮膀胱肾镜碎石术在小儿膀胱结石中的应用。方法：对15例小儿膀胱结石患者的 床治疗资料进行回顾性 分析。其中患儿年龄4~9 6.6依1.57）岁，膀胱结石直径1.3~3.7 2.6依0.92 ）cm ；行耻骨上膀胱穿刺建立经皮膀胱通道，用钬激光或 气压弹道击碎膀胱结石，视术中情况留置尿管。结果：所有患儿均获手术成功，手术时间20~45 32.5依6.43 ）min。术后早期5例患 儿因留置尿管感尿道疼痛， 明显严重并发症出现。随访6~12个月，所有患儿均排尿通畅，无尿道狭窄和结石复发。结论：经皮 膀胱肾镜治疗小儿膀胱结石具有安全、有效，结石清除率高等优点，可有效避免经尿道手术所致的术中技术风险、术后结石残留 和尿道狭窄。 ［关键词］小儿膀胱结石；微通道；经皮膀胱肾镜碎石 ［中图分类号］R694.4 ［文献标志码］B ［文章 号］1672-2345（20 13）03-0042-03 Percutaneous Cystolithotomy for Pediatric Bladder Stone YANG Li, XIAO Zhisong, ZHENG Baoshou, WEN Guicheng （Affiliated Hosptial of Dali University, Dali, Yunnan 671000, China ） 〔Abstract 〕Obj ective: To evaluate the application of percutaneous cystolithotomy in pediatric bladder stone. Methods: Fifteen boys with a mean age of 4-9 （6.6 ±1.57 ）years and mean stone diameter at 1.3-3.7 （2.6 ±0.92 ）cm underwent percutaneous cystolithotomy. Patients were punctureed into the bladder above suprapubic for establish the percutaneous bladder channel, then the bladder stones were smashed with the methods of holmium laser lithotripsy or pneumatic ballistic lithotripsy. The indwelling catheter was implanted according to intraoperative situation. Total 15 cases of clinical data were conducted with retrospective analysis. Results: All 15 patients were operated successfully and the mean procedure time was 20~45 （32.5 ±6.43 ）min. Five cases felt pain because of indwelling catheter but there were