我们在小儿肾结石疾病中经皮肾镜取石术的经验。
Our experience with percutaneous nephrolithotomy in pediatric renal stone disease.
作者信息
Oral İlknur, Nalbant İsmail, Öztürk Ufuk, Can Şener Nevzat, Yeşil Süleyman, Göksel Göktuğ H N, Abdurrahim İmamoğlu M
机构信息
Clinic of Urology, Ankara Sincan Community Hospital, Ministry of Health, Ankara, Turkey.
Clinic of Urology, Ankara Yenimahalle Community Hospital, Ministry of Health, Ankara, Turkey.
出版信息
Turk J Urol. 2013 Mar;39(1):35-8. doi: 10.5152/tud.2013.007.
OBJECTIVE
In this paper, we present our experience with percutaneous nephrolithotomy (PNL) in a pediatric patient group.
MATERIAL AND METHODS
From June 2007 to September 2010, we performed PNL on 57 pediatric patients. children with a mean age of 7.56 (1-15) years.
RESULTS
Study population consisted of 30 male, and 27 female children with a mean age of 7.56 (1-5) years. Mean stone burden was calculated to be 312.2 (95-1550) mm(2). Percutaneous access was performed under fluoroscopy. Tract dilatation was accomplished with 20 F Amplatz dilators. Pneumatic lithotripsy was used to fragment the renal calculi. Mean operating time was 34 (3-80) minutes. With a single session of PNL, complete stone-free rates were achieved in 55 (96.4%) patients. Residual fragments were remained in 2 (3.5%) patients. Two patients had a febrile episode without signs and symptoms of bacteremia. Subcostal access was used in all of the patients, and none of the patients had any complications.
CONCLUSION
Based on our experience, we conclude that PNL is a safe and effective method in the management of pediatric stone disease.
目的
在本文中，我们介绍了我们在一组儿科患者中进行经皮肾镜取石术（PNL）的经验。
材料与方法
2007年6月至2010年9月，我们对57例儿科患者进行了PNL手术。患儿平均年龄为7.56（1 - 15）岁。
结果
研究人群包括30名男性和27名女性儿童，平均年龄为7.56（1 - 5）岁。平均结石负荷经计算为312.2（95 - 1550）mm²。在荧光透视下进行经皮穿刺。使用20F的安普瑞兹扩张器进行通道扩张。采用气压弹道碎石术破碎肾结石。平均手术时间为34（3 - 80）分钟。单次PNL手术后，55例（96.4%）患者实现了结石完全清除。2例（3.5%）患者残留碎片。2例患者出现发热但无菌血症的体征和症状。所有患者均采用肋下穿刺入路，且无一例患者出现任何并发症。
结论
基于我们的经验，我们得出结论，PNL是治疗小儿结石病的一种安全有效的方法。
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