Retrograde intrarenal surgery in pediatric patients

来源 :World Journal of Nephrology | 被引量 : 0次 | 上传用户:qinghuawuqiong
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Urinary tract stone disease is seen at a level of 1%-2% in childhood(< 18 years).In recent years,however,there has been a marked increased in pediatric stone disease,particularly in adolescence.A carbohydrateand salt-heavy diet and a more sedentary lifestyle are implicated in this increase.Although stone disease is rare in childhood,its presence is frequently associated with metabolic or anatomical disorders or infectious conditions,for which reason there is a high possibility of post-therapeutic recurrence.Factors such as a high possibility of recurrence and increasing incidence further enhance the importance of minimally invasive therapeutic options in children,with their expectations of a long life.In children in whom active stone removal is decided on,the way to achieve the highest level of success with the least morbidity is to select the most appropriate treatment modality.Thanks to today’s advanced technology,renal stones that were once treated only by surgery can now be treated with minimally in-vasive techniques,from invasion of the urinary system in an antegrade(percutaneous nephrolithotomy) or retrograde(retrograde intrarenal surgery) manner or shock wave lithotripsy to laparoscopic stone surgery.This compilation study examined studies involving the RIRS procedure,the latest minimally invasive technique,in children and compared the results of those studies with those from other techniques. Urinary tract stone disease is seen at a level of 1% -2% in childhood (<18 years). In recent years, however, there has been a marked increase in pediatric stone disease, particularly in adolescence. A carbohydrate and salt-heavy diet and a more sedentary lifestyle are implicated in this increase. Although stone disease is rare in childhood, its presence is frequently associated with metabolic or anatomical disorders or infectious conditions, for which reason there is a high possibility of post-therapeutic recurrence. Factors such as as a high possibility of recurrence and increased incidence further enhance the importance of minimally invasive therapeutic options in children, with their expectations of a long life. children in whom active stone removal is decided on, the way to achieve the highest level of success with the least morbidity is to select the most appropriate treatment modality.Thanks to today’s advanced technology, renal stones that were once treated by only surgery can now be treated with minimally in-vasive techniques, from invasion of the urinary system in an antegrade (percutaneous nephrolithotomy) or retrograde intrarenal surgery manner or shock wave lithotripsy to laparoscopic stone surgery. This compilation study studied studies involving the rIRS procedure, the latest minimally invasive technique, in children and compared the results of those studies with those from other techniques.
其他文献
经济司法工作是一项崭新的工作。我们希望各地法院同志把处理各种经济案件的典型案例或者处理某一类经济案件的经验,送给我们,以便及时交流,促进这一工作的开展。 Economic
高考中经常会出现“新定义”题,这类题目的特点是引入了新概念、新模型或新运算,其实质是制定了一种新“规则”(包括运算、判断或推理方式等),要求我们运用规则判断或求解.  这类题难就难在营造了一种陌生的情景,但只要我们能用好题中的规则,把陌生的情景转化为熟悉的情景,就能顺利判断或求解.  一、直接代入规则解题  很多时候,我们并不熟悉题中出现的新概念,但能在题中找到与新概念对应的、并能明确解释它的新规
全国两会选车用车的标准,可以用“苛刻”来形容,为了保障车辆的安全,两会车辆要重点检查外观、转向、制动、灯具、轮胎及车辆是否配备灭火器等项目,只有全部合格才能上岗。今
一、函数型应用题  函数型应用题是近年来高考重点考查的题型之一,解决这类问题一般可以从建立函数解析式入手,将其函数化,运用函数的知识、方法解决问题.常见的问题主要有:成本最低、利润最高、效益最好、用料最省等实际问题.  例1 某企业拟建造如图所示的容器(不计厚度,长度单位:米),其中容器的中间为圆柱形,左右两端均为半球形,按照设计要求容器的容积为[80π3]立方米,且[l2r.]假设该容器的建造费
人生不如意十之八九,我们无需过分在意那份悲苦,需用心中的希望拥抱生活,让时光带走诸多不如意,用一颗恬静的心拥抱未来,在琐碎的凡尘开出美丽的生命之花。俯眸当下,生活常常
每个家庭都有洗衣机,洗一次衣服,总是要积攒一定量的衣物,而且需要大量的水。而现在的干洗店使用的干洗机,体积庞大不说,还费时且成本较高。如果我们能够发明一台微型干洗机,
前段时间,天涯社区出现一条热帖——《现在上海马路上明显女的比男的高一个档次,有图有真相》。帖子总结道“现在的男的要么狗头狗脑,要么缩头缩脑,没一个看的舒服的,倒是女生都蛮有气质的”。这个观点得到不少响应。  日本专栏作者加藤嘉一对中国男人的评价更为尖刻——我们老外经常感到困惑,并一起讨论:“中国女孩子那么漂亮,苗条,轻盈,站在旁边的男人为什么总是那样?”事实上,从李敖对胡因梦的刻薄到周立波路金波的
在一次国家科技战略座谈会上,国务院总理李克强指出:“科技创新要在‘顶天立地’上下功夫。所谓‘顶天’,就是要推动原始创新,研发高精尖技术;‘立地’,就是面向‘大众创业、万众创新’,有利于科技成果转化为现实生产力。”  高压直流输电技术、特高压柔直技术等高精尖技术是南方电网公司享誉世界的一张张名片,是南方电网公司向国际一流电网企业迈进的重要技术支撑。企业创新工作不仅需要能“顶天”的高精尖技术,也要依靠
Alport syndrome(AS) is a hereditary nephritis caused by mutations in COL4A3,COL4A4 or COL4A5 encoding the type IV collagen α3,α4,and α5 chains,which are majo
一、表格题的解答  初中物理有直接测量型、间接测量型和探究型的实验.这些实验中测量的数据可以运用分析、计算、作图等处理方法.  1.间接测量型实验的数据处理  间接测量型实验的数据处理方法是根据待测物理量与其他物理量的关系式,先测出其他量,然后算出该量.  例1 小东同学在测定盐水密度的实验中,其方法和步骤完全正确,如图甲显示的是他将烧杯中的部分盐水倒入量筒后,天平重新平衡时的情景,乙显示的是倒入