儿童尿道结石的体外冲击波石仍然活着 ≤1.0 cm
Sinharib Çitgez1, Elif Altınay Kırlı1, Muhammet Demirbilek2
1Cerrahpaşa Faculty of Medicine, Department of Urology, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.
Journal of endourology
|September 3, 2025
概括
外体冲击波石化术 (SWL) 和尿路透视术 (URS) 在小儿尿路结石高达1.0厘米2时提供了相似的无结石率. 由于并发症率较低,SWL是首选的第一线选择,特别是在远端结石.
科学领域:
- 儿童泌尿病学
- 内分泌学
- 腎病的治療
背景情况:
- 儿童尿道结石需要有效和安全的治疗方案.
- 常见的干预方法是体外冲击波石化术 (SWL) 和尿路透镜术 (URS).
- 对小儿尿路结石 (≤1. 0厘米) 的结果的比较数据对于指导临床决策至关重要.
研究的目的:
- 为了比较SWL和URS的临床结果,小儿尿道结石≤1.0厘米2.
- 根据无结石率和并发症概况确定最佳治疗策略.
主要方法:
- 对230名尿路结石患者进行回顾性研究.
- 治疗包括SWL (镇静) 和URS (用Ho:YAG激光透术进行全身麻醉).
- 使用标准标准评估并发症 (Satava用于SWL,Clavien用于URS).
主要成果:
- SWL (n=129) 和URS (n=101) 显示出可比的无结石率 (85%与80%,p=0.276).
- URS的整体并发症率显著高 (16%与4%,p=0.005),特别是在远端结石方面.
- 女性的性别和石头负担被确定为无石头状态的重要预测因素.
结论:
- 在小儿尿路结石≤1.0cm2的清除中,SWL和URS同样有效.
- 尿路结石与并发症的增加有关,特别是在远端尿路结石.
- 建议使用SWL作为这些结石的首线治疗方法,URS只适用于特定病例.
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