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目的:探讨输尿管镜钬激光碎石术治疗男性小儿尿道结石的临床疗效。方法:输尿管镜直视下钬激光碎石术治疗男性小儿尿道结石2 6例。年龄5个月~12岁,平均6.8岁。结石大小5 mm×8 mm~12 mm×18 mm。后尿道结石14例。前尿道结石12例。结果:一次碎石成功率为100%,平均碎石时间为(5.6士2.1)min.经定期随访,无尿外渗、尿道狭窄及其他并发症发生。结论:输尿管镜钬激光碎石术治疗小儿尿道结石安全有效,损伤小,是治疗男性小儿尿道结石的理想方法。
Objective: To investigate the clinical efficacy of ureteroscopic holmium laser lithotripsy in the treatment of male pediatric urethral stones. Methods: Twenty - six cases of male pediatric urethral calculus under ureteroscope under holmium laser lithotripsy. Aged 5 months to 12 years old, average 6.8 years old. Stone size 5 mm × 8 mm ~ 12 mm × 18 mm. 14 cases of urethral calculus. Anterior urethral stones in 12 cases. Results: The success rate of primary gravel was 100% and the average gravel time was 5.6 ± 2.1 min. After regular follow-up, no extravasation of urine, urethral stricture and other complications occurred. Conclusions: Ureteroscopic holmium laser lithotripsy is safe and effective in treating pediatric urethral calculus, with less damage. It is an ideal method for treating pediatric urethral calculus.