Desai Mahesh
Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat 387-001, India.
Curr Opin Urol. 2005 Mar;15(2):107-12. doi: 10.1097/01.mou.0000160625.59107.fd.
Management of pediatric urolithiasis has evolved from open surgery to minimally invasive techniques. With advancements in instrumentation, endourological procedures are being performed more commonly in children. The current article reviews the literature published from January 2003 to September 2004 regarding endoscopic management of stones in children.
Whereas recent literature supports shock-wave lithotripsy as the preferred treatment option for pediatric stones, it also confirms the safety of percutaneous nephrolithotomy and ureteroscopy in all age groups. Retrograde intrarenal surgery and laparoscopic surgery are newer additions to the armamentarium of the endourologist but their role needs to be better defined.
The majority of stones in children can be managed using minimally invasive techniques. Proper treatment planning and use of appropriate instrumentation are important to achieve optimal outcome.
小儿尿石症的治疗已从开放手术发展到微创技术。随着器械的进步，泌尿外科腔内手术在儿童中越来越普遍。本文回顾了2003年1月至2004年9月发表的关于儿童结石内镜治疗的文献。
近期文献支持冲击波碎石术作为小儿结石的首选治疗方法，同时也证实了经皮肾镜取石术和输尿管镜检查在所有年龄组中的安全性。逆行肾内手术和腹腔镜手术是泌尿外科腔内手术器械库中的新成员，但它们的作用需要进一步明确。
大多数儿童结石可以采用微创技术进行治疗。正确的治疗规划和使用合适的器械对于取得最佳疗效很重要。
