Aljumaiah Sahar, Allubly Nasser, Alshammari Ahmad, Alkhamees Mohammad, Hamri Saeed Bin
Division of Urology, Department of Surgery, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center (KAIMRC), Riyadh 11426, Saudi Arabia.
Res Rep Urol. 2020 Dec 22;12:663-668. doi: 10.2147/RRU.S277855. eCollection 2020.
Urolithiasis is not commonly encountered in the pediatric population. The adoption of ureteral access sheaths (UAS) facilitates the passage to the pediatric ureter and limits the harm and ureteral injury. However, the debate continues regarding whether or not to use UAS in children.
To assess the safety and outcomes of using UAS in the treatment of pediatric renal and ureteral stones.
This was a prospective cohort study of 14 pediatric patients who underwent flexible ureteroscopy (fURS) with the use of UAS for symptomatic renal and ureteric stones.
Of the fourteen enrolled patients, nine (64.3%) were males, and five (35.7%) were females with an average age of 9.5 years. Eleven (78.6%) of the patients were rendered stone-free. The average operative time was 55.7 min. None of the patients developed any complications. The stone-free rate was significantly higher with stone burdens of ≤10 mm (p ≤ 0.05).
The use of UAS in children facilitates the passage of a flexible ureteroscope without complications. The procedure is considered to be efficient and safe with minimal morbidity.
小儿尿路结石并不常见。输尿管通路鞘（UAS）的应用便于进入小儿输尿管，并减少伤害和输尿管损伤。然而，关于是否在儿童中使用UAS的争论仍在继续。
评估在小儿肾和输尿管结石治疗中使用UAS的安全性和疗效。
这是一项前瞻性队列研究，对14例因有症状的肾和输尿管结石接受使用UAS的软性输尿管镜检查（fURS）的小儿患者进行研究。
在14例入组患者中，9例（64.3%）为男性，5例（35.7%）为女性，平均年龄9.5岁。11例（78.6%）患者结石清除。平均手术时间为55.7分钟。无患者发生任何并发症。结石负荷≤10 mm时结石清除率显著更高（p≤0.05）。
在儿童中使用UAS便于软性输尿管镜通过且无并发症。该手术被认为高效且安全，发病率极低。
