Journal of reproductive health and uro-nephrology research (Репродуктив саломатлик ва уро-нефрологик тадқиқотлар журнали) 6-том 4-нөмір (2025)
EFFECTIVENESS AND SAFETY OF ENDOSCOPIC REMOVAL OF IM-PACTED URETERAL STONES IN CHILDREN
Наджимитдинов Ялкин Саидахматович
Аңдатпа
The treatment results of 73 children aged 5 to 18 years were retrospectively evalu-ated. The average stone size was 10.0 ± 0.6 mm in length and 5.5 ± 0.7 mm in width. Complete stone removal was achieved in 71 patients (97.2%). The total number of intraoperative complications was 24 (33.8%). Conversion from endo-scopic intervention to open surgery was required in two cases (2.8%) (Grade III). Ureteral mucosal injury was observed in 6.8% of children (Grade I), and ureteral perforation in 1.4% of cases (Grade II a). Ureteral mucosal burns occurred in 4.1% of patients (Grade II a) during laser lithotripsy. Deformation of the tip of the metal guidewire occurred in 16.4% of cases (Grade I). Postoperative complications were observed in 23 patients (31.5%). Elevated body temperature was noted in 8.2% of cases (Grade I), and hematuria in 9.6% (Grade I). Urinoma (Grade III b) and stein-strasse (Grade II a) were each observed in one child (1.4%). Systemic inflammatory response syndrome was also reported in one case. Ureteroscopic contact lithotripsy for impacted ureteral stones in children is an effective and safe treatment method.
дети, камни мочеточника, контактная уретеролитотрипсияchildren, ureteral stones, contact ureterolithotripsybolalar, siydik yo'llarida toshlar, kontakt ureterolitotripsiya
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