Zhong Liang,Zou Xiangyu,Hou Yanping,et al.Comparative study of flexible ureteroscopy and mini-percutaneous nephrolithotomy for treating 1-2 cm pediatric renal stones[J].Journal of Clinical Pediatric Surgery,,():13-17.[doi:10.3760/cma.j.cn101785-202410032-003]
Comparative study of flexible ureteroscopy and mini-percutaneous nephrolithotomy for treating 1-2 cm pediatric renal stones
- Keywords:
- Urinary Calculi; Surgical Procedures; Operative; Child
- Abstract:
- Objective To evaluate the safety and efficacy of flexible ureteroscopy (fURS) and mini-percutaneous nephrolithotomy (mini-PCNL) in the treatment of 1-2 cm renal stones in pediatric patients. Methods This retrospective study analyzed the clinical data of pediatric patients treated for renal stones with fURS or mini-PCNL (F4.8 and F11) at Shanghai Children’s Medical Center between October 2019 and October 2024.Patients were divided into the fURS group (n=26) and the mini-PCNL group (n=18) based on the surgical approach.Data on age,gender,stone size,location,proportion of lower calyx stones,cumulative operation time,hospital stay,hospital costs,and residual stones larger than 3 mm were compared between the groups. Results There were no significant differences between the fURS and mini-PCNL groups in terms of age,maximum stone diameter, stone density or proportion of lower calyx stones (2/26 vs.4/18).However,the mini-PCNL group had significantly shorter cumulative hospital stay and cumulative operation times (P<0.05) There were no significant differences between the two groups in cumulative hospital costs or stone-free rates at two months post-surgery (21/26 vs.16/18) (P>0.05). Conclusions Mini-PCNL (F4.8,F11) is a safe and effective surgical option for treating 1-2 cm pediatric renal stones.Compared with fURS,it offers advantages such as shorter operative and hospital stays,particularly for lower calyx stones.
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Memo
收稿日期:2024-10-14。
基金项目:三亚市科技创新专项项目(2022KJCX40)
通讯作者:孙杰,Email:sunjie@scmc.com