Życzkowski Marcin, Bogacki Rafał, Nowakowski Krzysztof, Muskała Bartosz, Rajwa Paweł, Bryniarski Piotr, Paradysz Andrzej
Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
Biomed Res Int. 2017;2017:2505034. doi: 10.1155/2017/2505034. Epub 2017 Feb 19.
Treatment options for urolithiasis in children include URSL and RIRS. Various types of energy are used in the disintegration of deposits in these procedures. We decided to evaluate the usefulness of URSL and RIRS techniques and compare the effectiveness of pneumatic lithotripters and holmium lasers in the child population based on our experience. One hundred eight (108) children who underwent URSL and RIRS procedures were enrolled in the study and divided into two (2) groups according to the type of energy used: pneumatic lithotripter versus holmium laser. We evaluated the procedures' duration and effectiveness according to the stone-free rate (SFR) directly after the procedure and after fourteen (14) days and the rate of complications. The mean operative time was shorter in the holmium laser group. A higher SFR was observed in the holmium laser but it was not statistically significant in the URSL and RIRS procedures. The rate of complications was similar in both groups. The URSL and RIRS procedures are highly efficient and safe methods. The use of a holmium laser reduces the duration of the procedure and increases its effectiveness in comparison with the use of a pneumatic lithotripter.
儿童尿路结石的治疗选择包括输尿管镜下激光碎石术（URSL）和逆行性肾盂内切开术（RIRS）。在这些手术中，使用了各种类型的能量来分解结石。基于我们的经验，我们决定评估URSL和RIRS技术的实用性，并比较气动碎石机和钬激光在儿童群体中的有效性。108名接受URSL和RIRS手术的儿童被纳入研究，并根据所使用的能量类型分为两组：气动碎石机组与钬激光组。我们根据术后即刻、术后14天的无石率（SFR）以及并发症发生率评估了手术的持续时间和有效性。钬激光组的平均手术时间较短。在钬激光组中观察到较高的SFR，但在URSL和RIRS手术中这一差异无统计学意义。两组的并发症发生率相似。URSL和RIRS手术是高效且安全的方法。与使用气动碎石机相比，使用钬激光可缩短手术时间并提高其有效性。
