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尖端可弯曲真空辅助输尿管接入鞘在肾盂成形术后儿童肾结石软性输尿管镜激光碎石术中的应用:一例报告

Application of tip-flexible vacuum-assisted ureteral access sheath in flexible ureteroscopic laser lithotripsy for renal stones in a child after pyeloplasty: a case report.

作者信息

Cheng Qiang, Cao Jianwei, Zhang Lin, Chen Qiaolin, Lin Houwei

机构信息

Department of Pediatric Urology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Front Pediatr. 2025 Apr 11;13:1525840. doi: 10.3389/fped.2025.1525840. eCollection 2025.

DOI:10.3389/fped.2025.1525840
PMID:40292115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12021928/
Abstract

OBJECTIVES

To explore the application of tip-flexible vacuum-assisted ureteral access sheath-assisted retrograde intrarenal stone surgery/flexible ureteroscopic lithotripsy in children.

PATIENTS AND METHODS

A retrospective analysis was conducted on the clinical data of a pediatric patient who developed kidney stones following pyeloplasty for congenital ureteropelvic junction obstruction. The child underwent tip-flexible vacuum-assisted ureteral access sheath-assisted retrograde intrarenal stone surgery under general anesthesia. Inpatient records and postoperative follow-up results were collected.

RESULTS

The kidney stones were utterly removed, and there were no complications like infection, bleeding, or secondary obstruction. Moreover, there was no significant damage to the anastomotic site after pyeloplasty.

CONCLUSION

The use of tip-flexible vacuum-assisted ureteral access sheath-assisted flexible ureteroscopic lithotripsy is safe and effective for pediatric lithotripsy.

摘要

目的

探讨头端可弯曲的真空辅助输尿管接入鞘辅助逆行性肾内结石手术/可弯曲输尿管镜碎石术在儿童中的应用。

患者与方法

对一名因先天性输尿管肾盂连接部梗阻行肾盂成形术后出现肾结石的儿科患者的临床资料进行回顾性分析。该患儿在全身麻醉下接受了头端可弯曲的真空辅助输尿管接入鞘辅助逆行性肾内结石手术。收集了住院记录和术后随访结果。

结果

肾结石被完全清除,未出现感染、出血或继发性梗阻等并发症。此外,肾盂成形术后吻合部位无明显损伤。

结论

头端可弯曲的真空辅助输尿管接入鞘辅助可弯曲输尿管镜碎石术用于儿童碎石是安全有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/3ac43b779856/fped-13-1525840-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/4f94565c3451/fped-13-1525840-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/1aafa0be3eec/fped-13-1525840-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/28fd8984516f/fped-13-1525840-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/3ac43b779856/fped-13-1525840-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/4f94565c3451/fped-13-1525840-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/1aafa0be3eec/fped-13-1525840-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/28fd8984516f/fped-13-1525840-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7ce/12021928/3ac43b779856/fped-13-1525840-g004.jpg

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