无管化经尿道输尿管镜下2微米激光治疗小儿输尿管囊肿（附33例报道）*

Treatment of tubeless transurethral ureteroscopic 2 μm laser vaporesection for ureter cyst in pediatrics (33 cases)*

摘要:

目的??探讨无管化经尿道输尿管镜下2μm激光治疗小儿输尿管囊肿的可行性。方法?对33例接受经尿道输尿管镜下2μm激光低位开窗术治疗的小儿输尿管囊肿病例进行回顾分析。患儿年龄3（1～7）岁。采用F8/9.8输尿管镜和2μm激光手术系统，行囊肿低位开窗术，术后不留置输尿管支架管及尿管，观察其临床效果。结果?全部病例顺利完成手术，术后无明显并发症，如期出院，随访期间未见输尿管囊肿复发。结论?经尿道输尿管镜下2μm激光低位开窗术治疗小儿输尿管囊肿具有出血少、操作安全简便等优点，无管化方案可进一步降低手术创伤，减轻术后不适感，加快恢复进程，是一种安全、可靠的微创手术方法。

Abstract:

Objective?To explore the feasibility of tubeless 2 μm laser vaporesection in treating pediatric ureter cysts by ureteroscopy.?Methods?Clinical data of 33 ureter cysts patients who received tubeless 2 μm laser vaporesections by ureteroscopy were reviewed. The median age of patients was 4 years with a range from 1 to 7 years. The operations were carried out by RevoLix 2 μm laser through ureteroscopy without ureter stents and catheters indwelling.?Results?All operations were successfully performed. And no serious complications occurred after the operations.?Conclusions?Tubeless transurethral 2 μm laser treatment by ureteroscopy was a superior micro-invasive surgery method for pediatrics with ureter cysts, with advantages of little blood loss, high safety, convenient operation and infrequent complications.