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1、小儿尿路结石的腔内微创治疗［摘要］目的探讨小儿尿路结石施行腔内微创治疗的临床价值。方法对79例小儿尿路结石患者施行腔内微创治疗。男47例，女32例。年龄0.5-14岁,平均7.9岁。肾结石18例；输尿管上段结石14例（阴性结石和多发性结石各1例），输尿管中段结石2例，输尿管下段结石10例，膀胱内型输尿管囊肿内结石1例，肾结石合并输尿管上段结石4例；膀胱结石18例；尿道结石12例（后尿道6例，前尿道6例）。结石横径0.5〜2&m,长径0.5〜1.5cm。上尿路结石中左侧24例，右侧22例，双侧3例。结果30例下尿路结石、13例输尿管中下段结石行经输尿管镜碎
2、石术（URL）,1例肾盂结石、4例输尿管上段结石行后腹腔镜肾盂输尿管切开取石术（RPPL/RPUL）,31例肾、输尿管上段结石行微创经皮肾镜取石术（MPCNL）,手术均获成功。术中、术后无严重不良反应发生。结论综合应用各种腔内治疗技术，小儿尿路结石可以实现现代微创治疗，并可作为一线治疗的选择。［关键词］尿结石；内窥镜；微创外科手术Themini-invasiveendoscopictherapyforthepediatricurolithiasis:reportof79casesZOUXiao-feng,YUANYuan-hu,XIAORi-hai.et
3、al.DepartmentofUrology,FirstAffiliatedHospitalofGannanMedicalcollege,JiangXi,Ganzhou341000,ChinaIAbstract]ObjectiveToinvestigatetheclinicalvalueofendoscopictherapytothepediatricurolithiasis・MethodsAtotal79caseswithurolithiasiswereunderwentendoscopictherapy(47weremale,32werefemale
4、andagerangewas0.5-14years,averagewas7.9years).Ofthem,18caseswithrenalcalculi;14caseshadcalculiintheproximalpartoftheureter(each1negativecalculiandexcessivecalculi),2inthemiddlepartand10inthedistalpart;1patientwiththecalculiintheintravasicalureteralcyst;4caseshadcalculiinkidneyand
5、theproximalpartoftheureter;18caseswithvesicalcalculiand12caseswithurethralcalculi(each6casesintheanteriorurethraandposteriorurethra).Thesizeofthecalculi5swidthrangewas0.5〜2.8cmandlengthrangewas0.5〜1.5cm.24caseswereleft,22caseswererightand3caseswerebothsideintheupperurinarytract.R
6、esultsTheureterorenolithotripsywasperformedon30caseswithdownurinarytractcalculiand13caseswiththecalculiinthemiddlepartanddistalpart;theretroperitoneoscopicpyelolithotomy(ureterolithotomy)wasperformedon1casewithpelviccalculiand4caseswithcalculiintheproximalpartoftheureterwhile31ca
7、seswithcalculiinthekidneyandproximalpartoftheureterwereunderwentthemini-invasivepercutaneousnephrolithotomysuccessfully.Therewasnoseverecomplicationshappenedintheoperationandpostoperation.ConclusionsThemodemmini-invasivetherapycanbeachievedtothepediatricurolithiasiswithsynthesizi
8、ngallsortsofendoscopictechnologiesanditc
