体外冲击波碎石治疗儿童下肾盏结石的疗效观察

I. V. Klyuka, V. Sizonov, Olesya A. Shaldenko, Yulia V. Lukash, B. Mikael, Chibichyan, M. I. Kogan
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引用次数: 1

摘要

介绍。根据目前的临床指南,当下萼结石小于1cm时,应采用体外冲击波碎石(ESWL)治疗。这是由于对较大的宝石进行重复程序的效率低和频率高。研究目的:目的探讨ESWL在治疗不同大小的儿童下萼结石中的应用效果。材料和方法。2013 - 2018年对33例下萼结石患儿进行体外冲击波碎石治疗。患者分为2组:原发性结石患者I - 24例(72.7%),肾盂结石经ESWL移至下肾盏患者II - 9例(27.3%)。两组都分为亚组:a -结石小于1厘米的儿童,b -结石大于1厘米的儿童。超声引导下全身麻醉行体外冲击波碎石。在所有ESWL后的患者中,我们使用了内翻技术。如果完全消除了结石,结果被认为是积极的。第一次ESWL治疗后,21/33例(63.6%)患者无结石,第二次ESWL治疗后26/33例(78.8%)无结石,第3次ESWL治疗后30/33例(90.9%)无结石。在Ia亚组和IIa亚组中,第一次ESWL后结石完全消除的患儿有14/22(63.6%),后续治疗的成功率为90.9%(20/22)。在Ib和IIb亚组的第一次ESWL治疗后,7/11(63.6%)的儿童完全消除了结石,10/11(90.9%)的儿童在重复治疗后完全消除了结石。ESWL在第一次和第三次治疗后,对于小于和大于1厘米的下萼结石,以及原发性和残余(迁移)结石的治疗都显示出高效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effectiveness of extracorporeal shock wave lithotripsy for lower calyx stones in children
Introduction. According to current clinical guidelines, the use of extracorporeal shock wave lithotripsy (ESWL) for lower calyx stones is indicated when their size is less than 1 cm. This is due to the low efficiency and high frequency of repeated procedures for larger stones.Purpose of the study. To examine the results of ESWL usage in the treatment of children with lower calyx stones of various sizes.Materials and methods. ESWL was performed on 33 children with lower calyx stones during 2013 - 2018 yrs. Patients were divided into 2 groups: Group I - 24 (72.7%) patients with primary stones, Group II - 9 (27.3%) patients after ESWL of kidney pelvis stones that migrated to the lower calyx. Both groups are divided into subgroups: a - children with stones less than 1 cm and b - with stones more than 1 cm. ESWL was performed under general anesthesia and ultrasound guidance. In all patients after ESWL we used the inversion technique. The result was considered positive in case of the complete elimination of stones was achieved.Results. After the first ESWL session, stone-free status was achieved in 21/33 (63.6%) patients of all groups, after the second ESWL session in 26/33 (78.8%), after 3 sessions - 30/33 (90.9%). In subgroups Ia and IIa, there were 14/22 (63.6%) children after the first ESWL with complete elimination of calculi, and after subsequent sessions, the success rate was 90.9% (20/22 calculi). After the first ESWL session in subgroups Ib and IIb, complete elimination of stones was achieved in 7/11 (63.6%) children, after repeated sessions in 10/11 (90.9%) children.Conclusions. ESWL demonstrates a high efficiency in the treatment of lower calyx stones less and more than 1 cm, both after the first and third sessions, and in the treatment of primary and residual (migrated) stones.
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