Percutaneous bladder puncture nephrostomy lithotripsy treatment of children with bladder stones.doc

 PAGE \* MERGEFORMAT 5 Percutaneous bladder puncture nephrostomy lithotripsy treatment of children with bladder stones [Keywords:] Children bladder stones, percutaneous bladder puncture nephrostomy, lithotripsy August 2003 ~ February 2008 we can learn from percutaneous nephrostomy technique percutaneous bladder puncture nephrostomy Wolf8/9.8 ureteroscopic pneumatic lithotripsy of bladder stones in 10 children, results were satisfactory, the report is as follows. Materials and Methods 1. General Information The group of 10 patients, all male children. Ages 2 to 8 years with an average of 3.5 years. Course of 1 month to 1 year, an average of 3 months. Single stone in 7 cases, multiple stones in 3 cases, combined phimosis 3. Calculi size (maximum diameter, said X-ray maximum 3.0 cm, the smallest 0.8 cm. All cases were diagnosed with abdominal plain film or CT. 2. Methods Anesthesia, supine position, the operating table tilted to the left 15 ~ 20 , paste set of brain membrane fluid bag. Transurethral catheter into the No. F8, water filling the bladder to the bladder. To make a 2 cm suprapubic 1.0 cm transverse skin incision, the bladder with renal biopsy needle, guide wire into the zebra, with the fascial dilator and gradually expand to F16 or F18, into a suitable size of about 10 cm thin plastic sheath of self (as a beverage straw surgical access. Wolf8/9.8 ureteroscope inserted through the sheath under direct vision with the pneumatic lithotripsy machine crushed stone, small stones under the infusion pump by flushing out the sheath, slightly larger than use of E-nose pliers, remove the stones. removed in stone F14 after balloon catheter inserted through the sheath, balloon water 10 ml, cut the plastic sheath and its removal, and then pulled out and fixed as a catheter cystostomy, while removal of urethral catheter. after 5 days of removal of the bladder fistula. 3. Results Gravel 10 to 40 minutes, an average of 26 minutes, were removed