小儿肾结石微创治疗研究进展

发布时间：2018-03-25 13:07

本文选题：肾结石　切入点：小儿　出处：《医学与哲学(B)》2017年12期

【摘要】：近年来小儿肾结石的发病率逐渐升高,体外冲击波碎石(ESWL)、经皮肾镜碎石取石术(PCNL)、输尿管软镜碎石取石术(FUL)等微创治疗技术已逐步取代开放性手术成为小儿肾结石的主要治疗手段。ESWL操作方便、创伤小及花费相对较少,但治疗体积较大和复杂性肾结石的清石率明显降低;PCNL治疗复杂性肾结石有较大的优势,但其并发症(如大出血、肾及周围脏器损伤等)的发生却不容小觑;FUL有更加微创、并发症少、可反复治疗等优点,但由于设备昂贵、易损耗、治疗成本高等原因限制了其在临床的推广应用。本文主要对微创治疗在小儿肾结石中的应用做一综述。
[Abstract]:In recent years, the incidence of renal calculi in children has gradually increased. Minimally invasive treatment techniques such as extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotripsy (PCNL) and soft ureteral lithotripsy (FULL) have gradually replaced open surgery as the main treatment for renal calculi in children. However, the treatment of large and complex renal calculi has significant advantages in the treatment of complex renal calculi, but the occurrence of complications (such as massive hemorrhage, injury of kidney and surrounding organs, etc.) can not be underestimated that Ful is more minimally invasive. The application of minimally invasive treatment in pediatric renal calculi is reviewed in this paper, due to the advantages of less complications and repeated treatment, but the application of minimally invasive treatment in pediatric renal calculi is limited because of expensive equipment, easy wear and tear and high treatment cost.
【作者单位】：昆明医科大学第二附属医院泌尿外科云南省泌尿外科研究所;
【基金】：2014年云南省科技惠民计划项目(2014RA067) 2016年云南省昆明医科大学校级教研教改项目(2016-JY-Y-71) 2017年云南省科技厅-昆明医科大学应用基础研究联合专项资金项目(2017FE467)
【分类号】：R726.9

【相似文献】