Iqbal Nadeem, Hussain Ijaz, Waqar Sehrish, Sadaf Rizwana, Tashfeen Ravale, Nisa Nabil Nur -Un-, Akhter Saeed
Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad.
Medical Student, Shifa College of Medicine, Islamabad.
J Coll Physicians Surg Pak. 2016 Dec;26(12):984-988.
To determine the outcomes of pediatric patients who underwent ureteroscopic removal of ureteric stones in terms of stone free rates and complications.
Descriptive case series.
Urology Department at Shifa International Hospital, Islamabad, from January 2012 to December 2014.
A retrospective analysis of 37 patients, who underwent ureteroscopy for the treatment of ureteral calculi at the study centre, was conducted. Data regarding mean stone size, stone location, stone clearance and complications was recorded on specified proforma. Data was analysed on SPSS version 16.
Thirty-seven children with mean age of 8.36 ±5.17 years were included. Twenty-five (67.6%) patients were male, whereas 12 (32.4%) patients were female. Mean stone size was 10.01 ±6.24 mm. Location-wise 25 (67.56%) patients had upper ureteric stones, 5 (13.5%) patients had mid ureteric stones and 7(18.9%) patients had distal ureteric stones. Twentytwo (59.5%) children underwent one procedure, while 15 (40.5%) children underwent relook ureteroscopies. Second relook ureteroscopy was done in 13/25 (52%) patients, 1/5 (20%) patient and 1/7 (14.28%) patient in upper, mid and lower ureteric stones, respectively. Overall stone clearance rate was 35/37 (94.59%) after first procedure. Mean operative time was 52.54 ±12.39 minutes. Urosepsis was seen in 2 patients. No major complications were seen. After the second URS procedure, stone free rate was 100%.
Ureteroscopy is a safe and effective procedure in children in terms of stone free rate and complications.
根据结石清除率和并发症情况，确定接受输尿管镜下输尿管结石取出术的儿科患者的治疗结果。
描述性病例系列。
2012年1月至2014年12月，伊斯兰堡希法国际医院泌尿外科。
对在研究中心接受输尿管镜治疗输尿管结石的37例患者进行回顾性分析。有关平均结石大小、结石位置、结石清除情况和并发症的数据记录在特定表格上。使用SPSS 16版软件进行数据分析。
纳入37例儿童，平均年龄8.36±5.17岁。25例（67.6%）为男性，12例（32.4%）为女性。平均结石大小为10.01±6.24毫米。按位置划分，25例（67.56%）患者为上段输尿管结石，5例（13.5%）患者为中段输尿管结石，7例（18.9%）患者为下段输尿管结石。22例（59.5%）儿童接受了一次手术，15例（40.5%）儿童接受了再次输尿管镜检查。上段、中段和下段输尿管结石患者中，分别有13/25（52%）、1/5（20%）和1/7（14.28%）的患者接受了第二次再次输尿管镜检查。首次手术后总体结石清除率为35/37（94.59%）。平均手术时间为52.54±12.39分钟。2例患者发生尿脓毒症。未观察到重大并发症。第二次输尿管镜逆行肾盂造影术后结石清除率为100%。
就结石清除率和并发症而言，输尿管镜检查在儿童中是一种安全有效的手术。
