使用一次性使用的柔性输尿管镜和高功率激光成功治疗一名两岁男孩的多发性肾内大结石

IF 1.4 Q3 PEDIATRICS
Vasileios Tatanis, Theodoros Spinos, Zoi Lamprinou, Elisavet Kanna, Francesk Mulita, Angelis Peteinaris, Orthodoxos Achilleos, Ioannis Skondras, Evangelos Liatsikos, Panagiotis Kallidonis
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引用次数: 0

摘要

小儿肾结石的标准治疗程序与成人相似。柔性输尿管镜的应用使逆行肾内手术(RIRS)作为一种可成功应用于儿童的替代治疗方法越来越受欢迎。过去十年中最重要的创新之一就是一次性使用柔性输尿管镜(fURS)的问世。在本病例报告中,我们介绍了一名右肾有多个大结石的 2 岁男孩的病例,他在使用 7.5 F 一次性柔性输尿管镜和高功率激光设置进行一次 RIRS 治疗后,结石被成功清除。手术和碎石的总时间估计分别为 90 分钟和 75 分钟。无并发症记录。经计算,血红蛋白损失为 0.3 毫克/分升,而肌酐水平下降了 0.1 毫克/分升。术后第一天拔除尿道导管,患者康复出院。对于三岁以下的儿童来说,处理多发性或大块肾结石非常具有挑战性。方便的术前规划和对现有设备的适当使用,可在降低并发症风险的同时获得良好的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful Treatment of Multiple Large Intrarenal Stones in a 2-Year-Old Boy Using a Single-Use Flexible Ureteroscope and High-Power Laser Settings.

The standard treatment procedures for managing renal calculi in the pediatric population are similar to those in adults. The application of flexible ureteroscopy has contributed to the increased popularity of retrograde intrarenal surgery (RIRS) as an alternative therapeutic modality that can be successfully applied in children. One of the most significant innovations of the last decade is the introduction of single-use flexible ureteroscopes (fURSs). In this case report, we present the case of a 2-year-old boy with multiple large calculi in his right kidney, which were successfully removed after a single session of RIRS using a 7.5 F single-use fURS and high-power laser settings. The total operative and lithotripsy times were estimated at 90 and 75 min, respectively. No complications were recorded. The hemoglobin loss was calculated at 0.3 mg/dL, while the creatinine level was decreased by 0.1 mg/dL. The urethral catheter was removed on the first postoperative day, and the patient was discharged. The management of multiple or large kidney stones is very challenging in the pediatric population under the age of three years. Convenient preoperative planning and the appropriate use of available equipment may lead to excellent outcomes accompanied by a reduced risk for complications.

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来源期刊
Pediatric Reports
Pediatric Reports PEDIATRICS-
CiteScore
2.10
自引率
0.00%
发文量
55
审稿时长
11 weeks
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