Joshi Milind Prabhakarrao, Zade Priti Subhash, Doshi Bhavesh H, Gavai Mahendra S
Department of Paediatric Surgery, Dr. Ulhas Patil Medical College and Hospital, Jalgaon, Maharashtra, India.
Afr J Paediatr Surg. 2017 Jan-Mar;14(1):1-4. doi: 10.4103/0189-6725.226199.
Paediatric stone disease is very common in certain regions of India. Traditionally, the endourology for the stones even in paediatric age group is managed by adult urologist and paediatric surgeons tend to do open surgeries. The nonavailability of paediatric size equipments and lack of training at the teaching and tertiary care paediatric surgical centers in India are factors due to which there is continued apathy of paediatric surgeons to endourology. The aim of this study was to discuss the feasibility of paediatric ureterolithotripsy for successful procedure. We introduced the paediatric ureterolithotripsy as per the predecided indications of stone size up to 15 mm in paediatric ureterolithiasis at a tertiary care center in rural set up.
: Patients up to 18 years of age presenting with ureterolithiasis and not responding to conservative treatment or who needed endourological intervention were included in the study.
: Thirty-one patients underwent uretero lithotripsy (URSL) for ureteric calculus with more than 95% clearance rate.
: Single-stage paediatric ureterolithotripsy is quite feasible and effective in achieving the stone clearance in paediatric ureterolithiasis.
小儿结石病在印度某些地区非常常见。传统上，即使是小儿年龄组的结石病腔内泌尿外科治疗也由成人泌尿科医生进行，小儿外科医生则倾向于进行开放手术。印度小儿外科教学和三级护理中心缺乏小儿尺寸的设备以及培训，这些因素导致小儿外科医生对腔内泌尿外科手术一直缺乏热情。本研究的目的是探讨小儿输尿管镜碎石术成功实施的可行性。我们在一个农村地区的三级护理中心，根据预先确定的小儿输尿管结石直径达15毫米的适应症，开展了小儿输尿管镜碎石术。
纳入18岁以下输尿管结石患者，这些患者对保守治疗无反应或需要腔内泌尿外科干预。
31例患者接受了输尿管镜碎石术（URSL）治疗输尿管结石，结石清除率超过95%。
一期小儿输尿管镜碎石术在小儿输尿管结石病的结石清除方面相当可行且有效。
