儿童尿路结石的手术治疗

Surgical management of children with urolithiasis.

作者信息

Wu Hsi-Yang, Docimo Steven G

机构信息

University of Pittsburgh and Department of Urology, Children's Hospital of Pittsburgh, 4A-424 DeSoto Wing, 3705 5th Avenue, Pittsburgh, PA 15213, USA.

出版信息

Urol Clin North Am. 2004 Aug;31(3):589-94, xi. doi: 10.1016/j.ucl.2004.04.002.

DOI:10.1016/j.ucl.2004.04.002

PMID:15313067

Abstract

The management of urolithiasis in children poses specific technical challenges that require planning before endoscopy and that affect the risks and outcomes of these procedures. The indications for operative intervention in children and adults are similar:infection, persistent symptoms of flank pain, nausea, and vomiting, as well as the failure to pass a ureteral stone after an appropriate trial of observation (3-6 weeks). Specific adjustments for performing extracorporeal shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, and cystolithotomy in children are discussed.

摘要

儿童尿路结石的治疗带来了特定的技术挑战，这些挑战在内镜检查前需要进行规划，并且会影响这些手术的风险和结果。儿童和成人手术干预的指征相似：感染、胁腹疼痛、恶心和呕吐等持续症状，以及在经过适当的观察期（3 - 6周）后输尿管结石仍未排出。本文讨论了在儿童中进行体外冲击波碎石术、输尿管镜检查、经皮肾镜取石术和膀胱结石切除术的具体调整方法。