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《Xinjiang Medical Journal》 2017-12
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Experience Communication of Ureteroscopic in the Treatment of Complicated Ureteral Calculi in Infants

PALUOKE·Dilimulati;LI Jia;AYIDING·Xireyazidan;DIYAER·Dilimulati;ANNIWAER·Yasheng;WANG Yujie;WEILIJIANG·Saimaiti;Department of Pediatric of the First Affiliated Hospital of Xinjiang Medical University;  
Objective To evaluate the efficacy and safety of ureteroscopic holmium laser lithotripsy in the treatment of complicated ureteral calculi in infants. Methods 28 cases of ureteral calculi were treated with wolf-F4.5 rigid ureteroscope combined with holmium laser. There were 28 cases, 20 males and 8 females. The age ranged from June to 1 years, average August. Left ureteral calculi in 13 cases,right in 11 cases, 4 cases of bilateral; unilateral ureteral calculi: 2 cases upper, 10 cases of middle and lower segment in 12 cases; bilateral ureteral calculi: 1 cases in the upper and middle segment in 5 cases, 2 cases; stone composition: calcium oxalate stones in 11 cases, 5 cases of uric acid stones and calcium phosphate 2 cases of stone; stone diameter of 3 ~ 6 mm, 6 ~ 10 mm diameter. The stones were completely removed in 20 cases, and the other 4 cases were re examined after March. Follow up for 3~12 months, no stone recurrence, hydronephrosis all returned to normal. Results The operation was successful, the stones were completely removed in 20 cases, and the other 4 cases were re examined after March. Follow up for 3~12 months, no stone recurrence, hydronephrosis all returned to normal. Conclusions Ureteral catheter dilatation combined with holmium laser lithotripsy under ureteroscope is safe and effective for the treatment of complicated ureteral calculi in children, and it is worthy of clinical application;
【CateGory Index】: R726.9
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