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目的探讨儿童尿道结石的治疗方法。方法采用输尿管镜气压弹道碎石术治疗儿童尿道结石患者27例。结果 27例患者均一次性急诊碎石成功,术后5例出现轻度肉眼血尿,24～48 h 消失,3～4 d 拔除尿管出院,无尿道和膀胱穿孔、感染、尿外渗等并发症。结论输尿管镜下气压弹道碎石术治疗儿童尿道结石具有微创、疗效肯定的优点,是一种较为理想的治疗方法。
Objective To investigate the treatment of urinary tract stones in children. Methods ureteroscopic pneumatic lithotripsy in children with urethral stones in 27 cases. Results All the 27 patients were successfully treated with one-off emergency lithotripsy. Five patients developed mild gross hematuria after 24-48 h, disappeared 24-48 h after operation, discharged the catheter from 3 to 4 d, without urethral and bladder perforation, infection and urinary extravasation disease. Conclusions Ureteroscopic pneumatic lithotripsy for the treatment of urethral calculus in children has the advantages of minimally invasive and definite curative effect, and is an ideal treatment.