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目的:探讨输尿管镜取石术治疗小儿输尿管结石的临床效果。方法:对26例小儿输尿管结石患者采用输尿管镜下气压弹道碎石或钬激光碎石进行治疗。结果:输尿管镜直视下1次操作成功24例,成功率84.5%,4~6周内结石全部排净。发生并发症4例,其中输尿管穿孔2例,采取保守治疗痊愈,随访10~12个月未发现输尿管狭窄;泌尿系感染2例。结论:输尿管镜取石术是治疗小儿输尿管结石理想、安全、有效的方法之一。
Objective: To investigate the clinical effect of ureteroscopic lithotripsy in the treatment of ureteral calculi in children. Methods: Twenty-six pediatric patients with ureteral calculi underwent ureteroscopic pneumatic lithotripsy or holmium laser lithotripsy. Results: Ureteroscopy under the eyes of a successful operation in 24 cases, the success rate of 84.5%, 4 to 6 weeks all the stones drain. Complications occurred in 4 cases, including 2 cases of ureter perforation, conservative treatment was cured, followed up for 10 to 12 months did not find ureteral stricture; urinary tract infection in 2 cases. Conclusion: Ureteroscopic lithotripsy is an ideal, safe and effective method for the treatment of ureteral calculi in children.