{"title":"小儿输尿管镜检查治疗儿童输尿管结石的有效性和安全性","authors":"A. Abdulkareem, Saud Hussein Moussa","doi":"10.31386/dmj.uod.18.12.2.1","DOIUrl":null,"url":null,"abstract":"Background:To evaluate the efficacy and safety of pediatric ureteroscopy and Holmium: YAG laser lithotripsy in the management of ureteric calculi in children. Patients and Methods:A Prospective study of 49 children (age ranged 2 ureteric calculi underwent ureteroscopy with a semi Holmium:YAG laser lithotripsy. The stone size ranged from 4 KUB, IVU and CT scan in some cases. All the procedures were done under general anaesthesia and on lithotomy position, and JJ stents inserted at the end of the procedure. Results:Of 49 patients, 43 patients were stone free after first ureteroscopic lithotripsy and after a second ureteroscopy in five patients, one patient developed ureteric injury and treated with open ureterolithotomy.Postcases with fever, 3 with gross hematuria and one with urinary extravasation due perforation. Conclusions:Ureteroscopy and Ho:YAG laser lithotripsy is an effective and relatively safe in the treatment of pediatric ureteric calculi.","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"EFFICACY AND SAFETY OF PEDIATRIC URETEROSCOPY IN THE TREATMENT OF URETERIC CALCULI IN CHILDREN\",\"authors\":\"A. Abdulkareem, Saud Hussein Moussa\",\"doi\":\"10.31386/dmj.uod.18.12.2.1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background:To evaluate the efficacy and safety of pediatric ureteroscopy and Holmium: YAG laser lithotripsy in the management of ureteric calculi in children. Patients and Methods:A Prospective study of 49 children (age ranged 2 ureteric calculi underwent ureteroscopy with a semi Holmium:YAG laser lithotripsy. The stone size ranged from 4 KUB, IVU and CT scan in some cases. All the procedures were done under general anaesthesia and on lithotomy position, and JJ stents inserted at the end of the procedure. Results:Of 49 patients, 43 patients were stone free after first ureteroscopic lithotripsy and after a second ureteroscopy in five patients, one patient developed ureteric injury and treated with open ureterolithotomy.Postcases with fever, 3 with gross hematuria and one with urinary extravasation due perforation. Conclusions:Ureteroscopy and Ho:YAG laser lithotripsy is an effective and relatively safe in the treatment of pediatric ureteric calculi.\",\"PeriodicalId\":432925,\"journal\":{\"name\":\"Duhok Medical Journal\",\"volume\":\"13 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Duhok Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.31386/dmj.uod.18.12.2.1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Duhok Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31386/dmj.uod.18.12.2.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
EFFICACY AND SAFETY OF PEDIATRIC URETEROSCOPY IN THE TREATMENT OF URETERIC CALCULI IN CHILDREN
Background:To evaluate the efficacy and safety of pediatric ureteroscopy and Holmium: YAG laser lithotripsy in the management of ureteric calculi in children. Patients and Methods:A Prospective study of 49 children (age ranged 2 ureteric calculi underwent ureteroscopy with a semi Holmium:YAG laser lithotripsy. The stone size ranged from 4 KUB, IVU and CT scan in some cases. All the procedures were done under general anaesthesia and on lithotomy position, and JJ stents inserted at the end of the procedure. Results:Of 49 patients, 43 patients were stone free after first ureteroscopic lithotripsy and after a second ureteroscopy in five patients, one patient developed ureteric injury and treated with open ureterolithotomy.Postcases with fever, 3 with gross hematuria and one with urinary extravasation due perforation. Conclusions:Ureteroscopy and Ho:YAG laser lithotripsy is an effective and relatively safe in the treatment of pediatric ureteric calculi.
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