Percutaneous nephrolithotripsy with pneumatic and ultrasonic power for treatment of pediatric renal cal-culi
- VernacularTitle:经皮肾镜气压弹道联合超声碎石术治疗儿童肾结石
- Author:
Bingqian LIU
;
Yudong WU
;
Junfu YANG
;
Jinxing WEI
;
Hong LIANG
;
Daoxie WANG
;
Ranlu LIU
;
Zhihong ZHANG
- Publication Type:Journal Article
- Keywords:
Kidney calculi Children Lithotripsy;
Endoscopy
- From:
Chinese Journal of Urology
2008;29(10):681-683
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the safety and efficacy of percutaneous nephrolithotripsy withpneumatic and ultrasonic power in pediatric renal calculi. Methods The clinical data of 44 patientstreated with combination of pneumatic and ultrasonic power during pereutaneous nephrolithotripsywere retrospectively analyzed. The 44 patients had 49 renal calculi. The patients were all under 14years old. The average age was 11 years (range 7-14 years). There were 39 unilateral and 5 bilateralcalculi. Among the 44 patients,metabolic disturbance occurred in 19 cases (43.2%),anatomical dys function occurred in 15 cases (34.1%),urinary tract infection occurred in 14 cases (31.8%). Ante grade percutaneous access was established under ultrasound guidance,a combination of pneumatic andultrasonic lithotripsy were used. The effect was evaluated by postoperative KUB and ultrasonic. Re suits The access was successfully established in all patients. Complete stone clearance was achievedin 36 kidneys in phase Ⅰ,stones from 9 kidneys were completely removed with second lithotripsy.Leftover stone in 2 kidneys were treated by ESWL. Open surgery was performed in 2 kidneys due toexcessive bleeding. The operative time ranged from 52 132 min,average time was 79 min. Two pa tients needed blood transfusion. No severe complications occurred in all patients. Thirty seven pa tients were followed up for 3 18 months. The renal function was not worsened and hydronephrosiswas not aggravated in these patients. Conclusion The percutaneous nephrolithotripsy with pneumatic and ultrasonic power is a safe,effective treatment for pediatric renal calculi.
