半硬性输尿管镜治疗儿童肾结石
Semirigid Ureteroscopy Therapy against Childhood Kidney Stones.
作者信息
Mu Xiao-Nan, Guo Long-Fei, Wang Peng-Xin, Zhang Long-Yang, Wang Si-Jun
机构信息
Cadres Integrative Unit 2, Central Hospital Affiliated to Shandong First Medical University, Jinan, 250013 Shandong, China.
Department of Urology, Central Hospital Affiliated to Shandong First Medical University, Jinan, 250013 Shandong, China.
出版信息
Appl Bionics Biomech. 2022 Aug 8;2022:7771920. doi: 10.1155/2022/7771920. eCollection 2022.
OBJECTIVE
The purpose of the current study was to assess the effectiveness of semirigid ureterorenoscopy (URS) as first-line therapy for early childhood patients with <20 mm stones in the pelvic, middle, or upper calices.
METHODS
In all, 61 pediatric kidney stone patients who had flexible ureteroscopy (fURS) between January 1, 2010, and December 31, 2019, were included in this study. Before fURS, semirigid URS employed the UreTron or holmium: YAG (Ho : YAG) laser was conducted. When semirigid URS was unsuccessful, fURS was used for retrograde intrarenal surgery (RIRS). All participants were monitored clinically for a minimum of three months after each procedure.
RESULTS
The patient's mean age was 4.52 ± 1.53 years, and 52 (83.61%) participants underwent semirigid URS successfully. Mean procedural duration of semirigid URS was 36.49 ± 7.72 min. The stone-free rate after semirigid URS was 92.16% (47/51). During the postprocedural medical observation, there were no serious adverse effects.
CONCLUSIONS
Based on the present study's findings, semirigid URS is a low-risk, effective therapy for kidney stones in selected pediatric patients.
目的
本研究旨在评估半硬性输尿管肾镜检查（URS）作为治疗盆腔、中盏或上盏结石直径小于20毫米的幼儿患者一线治疗方法的有效性。
方法
本研究纳入了2010年1月1日至2019年12月31日期间接受软性输尿管镜检查（fURS）的61例小儿肾结石患者。在进行fURS之前，先采用UreTron或钬:钇铝石榴石（Ho:YAG）激光进行半硬性URS。当半硬性URS不成功时，采用fURS进行逆行肾内手术（RIRS）。所有参与者在每次手术后至少进行了三个月的临床监测。
结果
患者的平均年龄为4.52±1.53岁，52例（83.61%）参与者成功接受了半硬性URS。半硬性URS的平均手术时间为36.49±7.72分钟。半硬性URS后的结石清除率为92.16%（47/51）。在术后医学观察期间，未出现严重不良反应。
结论
基于本研究的结果，半硬性URS是治疗部分小儿患者肾结石的一种低风险、有效的治疗方法。
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