›› 2011, Vol. 31 ›› Issue (4): 462-.doi: 10.3969/j.issn.1674-8115.2011.04.018

• 论著(临床研究) • 上一篇    下一篇

体外震波碎石治疗儿童上尿路结石300例分析

贾建业1, 张铁军2, 王丽亚3, 高瑞峰2, 吴 涛2, 张东风4, 石 磊5, 樊艳辉6, 李春荣5, 赵玺段2, 盖荣平2, 李 倩2   

  1. 1.上海交通大学 医学院附属新华医院泌尿外科, 上海 200092; 河北省儿童医院 2. 泌尿外科, 3.普外科, 4.肾内科, 5.麻醉科, 6.功能科, 石家庄 050031
  • 出版日期:2011-04-28 发布日期:2011-04-28
  • 通讯作者: 张铁军, 电子信箱: Zhz20047576@sina.com。
  • 作者简介:贾建业(1962—), 女, 学士;电子信箱: jiajianye118@163.com。
  • 基金资助:

    河北省科学技术成果项目(20110640)

Analysis of 300 cases of upper urinary tract calculi in children treated by extracorporeal shock wave lithotripsy

JIA Jian-ye1, ZHANG Tie-jun2, WANG Li-ya3, GAO Riu-feng2, WU Tao2, ZHANG Dong-feng4, SHI Lei5, FAN Yan-hui6, LI Chun-rong5, ZHAO Xi-duan2, GE Rong-ping2, LI Qian2   

  1. 1.Department of Urology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China;2.Department of Urology, 3.Department of General Surgery, 4.Department of Nephrology, 5.Department of Anesthesia, 6.Department of Function, Children's Hospital of Hebei Province, Shijiazhuang 050031, China
  • Online:2011-04-28 Published:2011-04-28
  • Supported by:

    Hebei Provincial Science and Technology Project, 20110640

摘要:

目的 探讨体外震波碎石(ESWL)治疗儿童上尿路结石的安全性和疗效。方法 采用ESWL治疗儿童上尿路结石300例,患儿年龄7个月~10岁,其中肾结石202例,输尿管结石98例。首次ESWL治疗后1周~3个月检查发现尿路梗阻或结石未排尽者再行ESWL治疗。首次ESWL治疗后3个月评定患者治疗效果。结果 202例肾结石患儿1次ESWL治愈169例(83.66%),2次ESWL治愈32例(15.84%),1例改行经皮肾镜碎石术治疗。98例输尿管结石患儿1次ESWL治愈84例(85.71%),2次ESWL治愈13例(13.27%),1例改行输尿管镜钬激光碎石术治疗。首次ESWL治疗后3个月肾、输尿管结石治愈率分别为94.55% 和98.98%,所有患儿均无严重并发症发生。结论 ESWL是治疗儿童上尿路结石安全、有效的方法。

关键词: 体外震波碎石, 上尿路结石, 儿童

Abstract:

Objective To investigate the safety and therapeutic effect of extracorporeal shock wave lithotripsy(ESWL) in the treatment of upper urinary tract calculi in children. Methods ESWL was employed to treat 300 cases of upper urinary tract calculi in children who aged from 7 months old to 10 years old. Among the 300 cases, 202 cases were renal calculi, and the other 98 cases were ureteral calculi. A second ESWL was performed for those with urinary obstruction or residual calculi 1 week to 3 months after first ESWL. The therapeutic effect was evaluated 3 months after first ESWL. Results Among the 202 case of renal calculi, 169(83.66%) were cured after first ESWL, 32(15.84%) were cured after a second ESWL, and one case failed and then received percutaneous nephrolithotomy. Among the 98 cases of ureteral calculi, 84(85.71%) were cured after first ESWL, 13(13.27%) were cured after a second ESWL, and one case failed and received laser lithotripsy. The overall cure rates of renal calculi and ureteral calculi 3 months after first ESWL were 94.55% and 98.98%, respectively, and no serious complications were observed. Conclusion ESWL may be a safe and effective treatment for upper urinary tract calculi in children.

Key words: extracorporeal shock wave lithotripsy, upper urinary tract calculi, children