Department of Urology, Akdeniz University School of Medicine, Dumlupinar Bulvari, 07059, Antalya, Turkey.
World J Urol. 2011 Dec;29(6):719-23. doi: 10.1007/s00345-010-0599-2. Epub 2010 Oct 7.
Ureteroscopy in children with miniaturized instruments is becoming popular with the advent of pediatric ureteroscopes and laser lithotriptors. We had been performing pediatric ureteroscopies with a 7.5 Fr. semirigid ureteroscope and pneumatic lithotriptor, used in adults as well. Herein, we present our experience in pediatric ureteroscopy with a semirigid 7.5 Fr. ureteroscope and pneumatic lithotriptor with a specific focus on changes in success and complication rates with time.
We retrospectively reviewed the charts of all patients younger than 18 years old who underwent ureteroscopic intervention with a 7.5 Fr. semirigid ureteroscope and pneumatic lithotriptor at our institute between January 2000 and September 2009. Patient characteristics were recorded including date of surgery, age, sex, stone size and location, ureteroscopy technique, duration of surgery, the result of surgery, complication, postureteroscopy ureteral stenting, follow-up duration and final imaging.
A total of 48 children (28 boys, 20 girls) with a mean age of 7.6 years (range: 9 months-18 years) have undergone 54 ureteroscopic intervention. Thirty-eight (79.1%) children were <10 years of age and 17 (35.4%) were <4 years of age. Stone-related ureteroscopy number was 51. Mean stone diameter was 6.6 mm (4-20 mm). Mean duration of surgery was 77 min (25-150 min). Overall success rate was 84.3%, and overall complication rate was 14.8%.
Ureteroscopic management of ureteral stones is safe and effective in children >1 year of age with a 7.5 Fr. semirigid ureteroscope and pneumatic lithotriptor.
随着小儿输尿管镜和激光碎石器的出现，使用微型仪器进行儿童输尿管镜检查变得越来越流行。我们一直在使用成人用的 7.5Fr 半刚性输尿管镜和气压弹道碎石器进行小儿输尿管镜检查。在此，我们介绍了我们使用 7.5Fr 半刚性输尿管镜和气压弹道碎石器进行小儿输尿管镜检查的经验，特别关注随着时间的推移成功率和并发症发生率的变化。
我们回顾性分析了 2000 年 1 月至 2009 年 9 月在我院接受 7.5Fr 半刚性输尿管镜和气压弹道碎石器治疗的所有年龄小于 18 岁的患者的病历。记录患者的特征，包括手术日期、年龄、性别、结石大小和位置、输尿管镜技术、手术时间、手术结果、并发症、术后输尿管支架留置、随访时间和最终影像学检查结果。
共有 48 名儿童（28 名男孩，20 名女孩）接受了 54 次输尿管镜检查，平均年龄为 7.6 岁（范围：9 个月-18 岁）。38 名（79.1%）儿童年龄<10 岁，17 名（35.4%）儿童年龄<4 岁。输尿管镜检查的结石数量为 51 个。平均结石直径为 6.6mm（4-20mm）。平均手术时间为 77 分钟（25-150 分钟）。总体成功率为 84.3%，总体并发症发生率为 14.8%。
对于>1 岁的儿童，使用 7.5Fr 半刚性输尿管镜和气压弹道碎石器治疗输尿管结石是安全有效的。
