Guven Selcuk, Basiri Abbas, Varshney Anil Kumar, Aridogan Ibrahim Atilla, Miura Hiroyasu, White Mark, Kilinc Mehmet, de la Rosette Jean
Department of Urology, Necmettin Erbakan University, Meram Medical School, Konya, Turkey; Department of Urology, Istanbul Medipol University, Istanbul, Turkey.
Urology and Nephrology Research Center, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology. 2017 Mar;101:31-37. doi: 10.1016/j.urology.2016.11.020. Epub 2016 Nov 22.
To evaluate the characteristics and outcomes of ureteroscopy (URS) in children treated in several hospitals participating in the Clinical Research Office of the Endourological Society (CROES) Study, and to present the overall results of pediatric URS compared with adults.
The CROES Study collected data on consecutive patients treated with URS for urolithiasis at each participating center over a 1-year period. The collected prospective global database includes data for 11,885 patients who received URS at 114 centers in 32 countries. Of these URS-treated patients, 192 were ≤18 years old.
Of the 114 centers participating in the study, 42% had conducted pediatric URS. Among the pediatric cases, 7 were infants, 53 were small children, 59 were school-aged children, and 73 were adolescents. A considerable number (37%) of the pediatric cases had previously undergone URS treatment. No differences in the surgical outcomes of the adults and children were reported. The URS-treated children had a greater number of positive preoperative urine cultures when compared with adult cases treated. A semirigid scope was used in the vast majority of pediatric cases (85%). According to the present data, within the group of URS-treated children, the younger the child, the more readmissions occurred.
URS is as efficient and safe in children as it is in adults. The data suggest that readmissions among URS-treated children are associated with age, with the likelihood of readmissions greater among younger age groups.
评估参与腔内泌尿外科协会临床研究办公室（CROES）研究的多家医院中接受输尿管镜检查（URS）的儿童患者的特征及治疗结果，并呈现小儿URS与成人相比的总体结果。
CROES研究收集了各参与中心在1年期间接受URS治疗尿路结石的连续患者的数据。所收集的前瞻性全球数据库包含了在32个国家114个中心接受URS治疗的11885例患者的数据。在这些接受URS治疗的患者中，192例年龄≤18岁。
参与研究的114个中心中，42%开展过小儿URS。在小儿病例中，7例为婴儿，53例为幼儿，59例为学龄儿童，73例为青少年。相当数量（37%）的小儿病例此前曾接受过URS治疗。未报告成人与儿童手术结果存在差异。与接受治疗的成人病例相比，接受URS治疗的儿童术前尿培养阳性的数量更多。绝大多数小儿病例（85%）使用的是半硬性输尿管镜。根据目前的数据，在接受URS治疗的儿童组中，年龄越小，再次入院的次数越多。
URS在儿童中的有效性和安全性与成人相同。数据表明，接受URS治疗的儿童再次入院与年龄有关，年龄较小的组再次入院的可能性更大。
