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报告54例幼儿上尿路结石,其中17例采用药物治疗,治愈8例,复发1例;14例行ESWL治疗,治愈9例,复发1例;23例采用手术治疗,治愈21例,复发2例。认为幼儿与成人尿路结石的病史和体征不尽相同,泌尿科和儿科医师对幼儿上尿路结石应有明确的认识和高度的警惕,合理运用X线和B超检查才能早期确诊。在治疗方面须严格选择病例,运中西药物和ESWL治疗,可以使相当一部分患儿免除手术痛苦。但开放手术仍然是治疗幼儿上尿路结石最有效的方法。
Reported 54 cases of upper urinary tract stones in children, of which 17 cases were treated with drugs, cured in 8 cases, 1 case of recurrence; ESWL treatment in 14 cases, 9 cases were cured, 1 case of recurrence; 23 cases were treated by surgery, cured 21 cases, example. That the history and signs of urinary tract stones in children and adults are not the same, urology and pediatricians on urinary stones in children with a clear understanding and a high degree of vigilance, a reasonable use of X-ray and B-ultrasound can be diagnosed early. In the treatment of patients should be strictly selected cases, the transport of Western medicine and ESWL treatment, can make a considerable part of children with surgical pain relief. However, open surgery is still the most effective treatment of upper urinary tract stones in children.