经皮膀胱碎石术治疗男性小儿膀胱结石

摘要

Objective The main objective of this paper is to evaluate the feasibility and clinical efficiency of the man-agement of male children with bladder stones by percutaneous suprapubic cystolithotripsy(PCCL). Methods From Au-gust 2008 to September 2012,40 cases of male children with bladder stones were undergone by percutaneous suprapu-bic cystolithotripsy(PCCL). The age of patients was ranged from 1 to 9 years. The size of stones was ranged from 10 to 35 mm. Results All the patients were operated successfully only once by percutaneous suprapubic cystolithotripsy(PC-CL). All the stones were eliminated at a rate of 100%and there were no over bleeding,infection,perforation,urine fis-tula and other complications. During a follow-up period of 1 to 10 months there was no stone recurrence and urethral stenosis. Conclusion Percutaneous suprapubic cystolithotripsy (PCCL)is a safe,high-effect and accurate lithotripsy method for the treatment of male children with bladder stones,and it is worthy of wide application.%目的：评估经皮膀胱碎石术治疗男性小儿膀胱结石的可行性及临床疗效。方法2008年8月~2012年9月采用经皮膀胱碎石术对40例男性小儿膀胱结石进行治疗，年龄1~9岁，结石直径10~35 mm。结果所有患儿均一次性碎石治疗成功，结石清除率100%。无大出血、感染、穿孔、尿瘘等并发症发生，术后随访1~10个月无结石复发，无远期尿道狭窄。结论经皮膀胱碎石术治疗男性小儿膀胱结石安全高效且碎石确切，值得临床推广应用。