Kuvezdić Hrvoje, Tucak Antun, Perić Nikica, Prlić Damir, Zorić Ivan, Galić Radoslav
Department of Urology, University Hospital Osijek, Osijek, Croatia.
Coll Antropol. 2003;27 Suppl 1:71-5.
Extracorporeal shock wave lithotripsy (ESWL) treatment has been used at Department of Urology, University Hospital "Osijek", Croatia, since July 1988. Until December 2001 seven thousand and eight hundred patients underwent ESWL for urinary stones, 68 of them were children (0.87%). Sixty-eight children aged 4 to 15 years (average 10.14 years) underwent ESWL. They were treated for the total of 91 stones: 35 (38.46%) caliceal, 23 (25.27%) in pyelon, 7 (7.69%) in pyeloureteric segment and 14 (15.38%) ureteral. Staghorn calculi were found in 6 (6.59%) patients and multiple stones (four or more stones in the same kidney) in 6 (6.59%). There was total of 95 ESWL sessions performed in 68 patients (1.39 session per patient). Fifty-six patients (82.35%) without residual stones found at the control plain film and sonography of urinary tract were considered "stone free". Addition of 5 patients with clinically insignificant residual fragments (less than 4 mm) increases overall success rate to 89.70%. ESWL is a simple, safe and effective procedure in the management of urolithiasis in childhood. Clinical experience of our institution confirms ESWL as the first line treatment for kidney stones in the pediatric age patients.
自1988年7月起，克罗地亚奥西耶克大学医院泌尿外科开始采用体外冲击波碎石术（ESWL）进行治疗。截至2001年12月，7800例患者接受了ESWL治疗尿路结石，其中68例为儿童（0.87%）。68例年龄在4至15岁（平均10.14岁）的儿童接受了ESWL治疗。他们总共治疗了91颗结石：35颗（38.46%）位于肾盏，23颗（25.27%）位于肾盂，7颗（7.69%）位于肾盂输尿管段，14颗（15.38%）位于输尿管。6例（6.59%）患者发现鹿角形结石，6例（6.59%）患者发现多发结石（同一肾脏中有四颗或更多结石）。68例患者共进行了95次ESWL治疗（每位患者1.39次）。56例（82.35%）患者在尿路平片和超声检查中未发现残留结石，被认为“结石清除”。另外5例有临床意义不显著的残留碎片（小于4毫米）的患者使总体成功率提高到89.70%。ESWL是治疗儿童尿路结石的一种简单、安全且有效的方法。我们机构的临床经验证实ESWL是小儿肾结石的一线治疗方法。
