儿童尿路结石的微创手术治疗
Minimally Invasive Surgical Treatment of Urinary Calculi in Children
DOI: 10.12677/ACM.2022.12111536, PDF,   
作者: 张永贺:山东省济宁医学院临床医学院,山东 济宁;成武县人民医院,山东 菏泽;申金刚:成武县人民医院,山东 菏泽;张曦才, 李凤岳:山东省济宁医学院临床医学院,山东 济宁 ;曹先德*:济宁医学院附属医院,泌尿外科,山东 济宁
关键词: 儿童肾结石微创未建立人工肾积水无管化Renal Calculi in Children Minimally Invasive No Artificial Hydronephrosis Non-Tubulization
摘要: 目的:证实微创手术方法治疗儿童尿路结石的有效性和安全性。方法:回顾性分析2019年1月至2022年8月在济宁医学院附属医院期间收治的9例儿童尿路结石患者的临床资料。结果:本组9例均通过微创途径顺利完成手术。其中经皮膀胱穿刺碎石3例,行微通道经皮肾镜碎石(MPCNL) 4例,经尿道膀胱碎石1例,经输尿管软镜碎石术(RIRS) 1例。无术后高热及需要严重出血。结论:儿童尿路结石可行微创手术方式解决,手术安全有效。
Abstract: Objective: To confirm the efficacy and safety of minimally invasive surgery in the treatment of uri-nary calculi in children. Methods: The clinical data of 9 children with urinary calculi treated in the Affiliated Hospital of Jining Medical College from January 2019 to August 2022 were analyzed ret-rospectively. Results: All the 9 cases completed the operation successfully through minimally inva-sive approach. There were 3 cases of percutaneous bladder lithotripsy, 4 cases of microchannel percutaneous nephrolithotripsy (MPCNL), 1 case of transurethral bladder lithotripsy and 1 case of transurethral lithotripsy (RIRS). There was no postoperative high fever and severe bleeding. Con-clusion: Minimally invasive operation is feasible for urinary calculi in children, and the operation is safe and effective.
文章引用:张永贺, 申金刚, 张曦才, 李凤岳, 曹先德. 儿童尿路结石的微创手术治疗[J]. 临床医学进展, 2022, 12(11): 10668-10672. https://doi.org/10.12677/ACM.2022.12111536

参考文献

[1] Lee, S.T. and Cho, H. (2016) Metabolic Features and Renal Outcomes of Urolithiasis in Children. Renal Failure, 38, 927-932. [Google Scholar] [CrossRef
[2] Elderwy, A.A., Gadelmoula, M., Elgammal, M.A., et al. (2014) Percutaneous Nephrolithotomy in Children: A Preliminary Report. Urology Annals, 6, 187-191. [Google Scholar] [CrossRef] [PubMed]
[3] Sofimajidpour, H., Zarei, B., Rasouli, M.A. and Hosseini, M. (2020) Ultra-Mini-Percutaneous Nephrolithotomy for the Treatment of Upper Urinary Tract Stones Sized between 10 - 20 mm in Children Younger Than 8 Years Old. Urology Journal, 17, 139-142.
[4] Ozden, E. and Mercimek, M.N. (2016) Percutaneous Nephrolithotomy in Pediatric Age Group: Assessment of Effectiveness and Complications. World Journal of Nephrology, 5, 84-89. [Google Scholar] [CrossRef] [PubMed]
[5] Smaldone, M.C., Docimo, S.G. and Ost, M.C. (2010) Contemporary Surgical Management of Pediatric Urolithiasis. Urologic Clinics of North America, 37, 253-267. [Google Scholar] [CrossRef] [PubMed]
[6] Tuncer, M., Çevik, B., Eryildirim, B., Faydaci, G. and Sarica, K. (2017) Extracorporeal Shock Wave Lithotripsy Management of Renal Stones in Children: Does Anesthesia Affect the Treatment Outcomes on an Age-Based Manner? Urology, 107, 218-222. [Google Scholar] [CrossRef] [PubMed]
[7] Brodie, K.E., Lane, V.A., Lee, T.W., et al. (2015) Outcomes Following ‘Mini’ Percutaneous Nephrolithotomy for Renal Calculi in Children. A Single-Centre Study. Journal of Pedi-atric Urology, 11, e1-e120. [Google Scholar] [CrossRef] [PubMed]
[8] 郭诗杰, 张永贺, 曹先德. 精准定位穿刺技术在建立经皮肾镜取石术通道中的应用现状[J]. 国际泌尿系统杂志, 2022, 42(1): 113-116.
[9] 叶俊杰, 杨宇, 张会江, 等. 超声引导经皮肾镜取石术中不行人工肾积水的随机对照研究[J]. 中华外科杂志, 2018, 56(5): 386-390.
[10] 李家宽, 王洛夫, 兰卫华, 等. 无管化经皮肾镜取石术可行性和安全性及疗效的随机对照研究[J]. 中华泌尿外科杂志, 2012, 33(8): 576-580.
[11] 石博文, 徐科, 黄云腾. 经皮肾镜取石术在儿童肾结石中的应用及进展[J]. 临床小儿外科杂志, 2017, 16(6): 617-621.
[12] Simayi, A., Lei, P., Tayier, T., et al. (2021) Comparison of Super-Mini versus Mini Percutaneous Nephrolithotomy for the Treatment of Upper Urinary Tract Stones in Children: A Single Centre Expe-rience. Pediatric Surgery International, 37, 1141-1146. [Google Scholar] [CrossRef] [PubMed]
[13] Dağgülli, M., Utanğaç, M.M., Dede, O., et al. (2016) Micro-Percutaneous Nephrolithotomy in the Treatment of Pediatric Nephro-lithiasis: A Single-Center Experience. Journal of Pediatric Surgery, 51, 626-629. [Google Scholar] [CrossRef] [PubMed]
[14] 李钧, 肖荆, 陈恒润, 等. 输尿管软镜钬激光碎石术治疗儿童和婴幼儿上尿路结石:单中心92例经验总结[J]. 中华泌尿外科杂志, 2016, 37(11): 851-854.
[15] Tekgül, S. (2015) Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery for Upper Tract Calculi in Children—Which Is a Better Option for Which Stone Condition? Journal of Urology, 194, 1529-1530. [Google Scholar] [CrossRef] [PubMed]
[16] Featherstone, N.C., Somani, B.K. and Griffin, S.J. (2017) Ureter-oscopy and Laser Stone Fragmentation (URSL) for Large (≥1 cm) Paediatric Stones: Outcomes from a University Teaching Hospital. Journal of Pediatric Urology, 13, e1-e202. [Google Scholar] [CrossRef] [PubMed]
[17] Pelit, E.S., Atis, G., Kati, B., et al. (2017) Comparison of Mini-Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Preschool-Aged Children. Urology, 101, 21-25. [Google Scholar] [CrossRef] [PubMed]
[18] 李鑫, 陈志刚, 张孟冬, 等. 术前留置输尿管支架管对输尿管软镜碎石术疗效的影响[J]. 基础医学与临床, 2022, 42(8): 1255-1258.
[19] 张道秀, 乔保平, 文思忞, 文建国, 高宛生. 输尿管软镜在小儿上尿路结石治疗中的应用及并发症分析[J]. 中华实用儿科临床杂志, 2017, 32(5): 377-379.
[20] 加素尔•巴吐尔, 阿巴拜克尔•吾布力, 阿力木江•阿布来孜, 等. 经皮膀胱穿刺与经尿道碎石术治疗小儿膀胱结石的临床对照研究[J]. 国际泌尿系统杂志, 2019, 39(2): 245-248.
[21] 李卫华, 唐玲. 经皮膀胱穿刺微造瘘钬激光碎石与并发症的防治[J]. 中国医师杂志, 2016(S1): 138.
[22] 周可义, 赵春利, 杨文增, 等. 超声引导下可视化穿刺设备联合输尿管软镜在治疗肾下盏结石中的临床应用[J]. 中华泌尿外科杂志, 2017, 38(3): 196-200.