Group of Pediatric Urology,Branch of Urology,Chinese Medical Association.Expert Consensus on Extracorporeal Shock Wave Lithotripsy for the Treatment of Upper Urinary Tract Stones in Children (2026 Edition)[J].Journal of Clinical Pediatric Surgery,2026,(05):407-416.[doi:10.3760/cma.j.cn101785-20251222-00128]
体外冲击波碎石术治疗儿童上尿路结石专家共识(2026年版)
- Title:
- Expert Consensus on Extracorporeal Shock Wave Lithotripsy for the Treatment of Upper Urinary Tract Stones in Children (2026 Edition)
- 摘要:
- 目前儿童泌尿系结石全球发病率呈上升趋势,我国尚缺乏完善的流行病学数据。该病成因复杂,与代谢异常、泌尿系畸形及感染等因素相关。上尿路结石可影响患儿肾脏发育。体外冲击波碎石术(extracorporeal shock wave lithotripsy,ESWL)作为治疗儿童上尿路结石的重要手段之一,具有安全、有效、微创等优势。基于该技术在我国的开展相对有限,临床尚无统一的规范标准,中华医学会泌尿外科学分会小儿泌尿学组特组织具有丰富儿童上尿路结石ESWL治疗经验的专家,结合循证医学证据与国内多中心临床经验,制定本专家共识,内容涵盖流行病学及病因学、诊断评估、碎石操作、围手术期管理、并发症防治及长期随访等,以期为临床实践提供参考。
- Abstract:
- The global incidence of pediatric urolithiasis is rising,yet its Chinese epidemiological data remain incomplete.Its etiology is rather complex so that it has been associated with metabolic abnormalities,urinary tract malformations and infections; in particular,upper urinary tract calculi may impair renal development in children.Extracorporeal shock wave lithotripsy (ESWL),as one of the important therapeutic modalities for pediatric upper urinary tract calculi,offers the clinical advantages of safety,efficacy and mini-invasiveness.Due to the relatively limited domestic popularization of this technology and a lack of unified clinical norms or guidelines,Group of Pediatric Urology,Branch of Urology,Chinese Medical Association has organized the relevant experts with extensive experience in ESWL for pediatric upper urinary tract calculi and specialists in relevant fields to formulate this expert consensus.Based upon evidence-based evidence and domestic multicenter clinical experience,it provides clinical recommendations and references on epidemiology and etiology,diagnostic evaluation,lithotripsy procedures,perioperative management,controls of complications and long-term follow-ups of the disease.
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备注/Memo
收稿日期:2025-12-22。
基金项目:湖南省政府,湖南省芙蓉计划高层次人才项目,湘人才办发[2025]8号,芙蓉计划领军人才项目
通讯作者:赵夭望,中南大学湘雅医学院附属儿童医院湖南省儿童医院泌尿外科,长沙410007,Email:yw508@sina.com;周辉霞,中国人民解放军总医院第七医学中心儿科医学部,北京100700,Email:huixia99999@163.com