Moreno Villares J M, Muley Alonso R, Espino Hernández M, Vara Martín J, Serrano Hernández C, Aransa y Bramtot A, Flores Antón B
Unidad de Nefrología, Departamento de Pediatría, Madrid.
An Esp Pediatr. 1991 Jul;35(1):13-6.
We report a retrospective study of 51 children who presented urolithiasis between 1980 and 1989 in our Hospital. Mean age was 7 years and the male:female ratio was 2. 1:1. A positive family history was found in 60% of cases. It was done metabolic evaluation in every case: hypercalciuria was found in 34% of cases. In 6% of cases there were hyperuricosuria. None of our patients presented hyperoxaluria, cystinuria or hypocitraturia. Abdominal echography was the most sensible an specific imaging technique of diagnosis. In 16 cases it was necessary a surgical procedure although most cases received only medical management. Four patients were treated with extracorporeal shock-wave lithotripsy. We emphasize the importance of metabolic evaluation. We report our own protocol of study and results.
我们报告了一项对1980年至1989年期间在我院出现尿路结石的51名儿童的回顾性研究。平均年龄为7岁，男女比例为2.1:1。60%的病例有阳性家族史。对每个病例都进行了代谢评估：34%的病例发现高钙尿症。6%的病例有高尿酸尿症。我们的患者均未出现高草酸尿症、胱氨酸尿症或低枸橼酸尿症。腹部超声检查是最敏感且特异的诊断成像技术。16例患者需要进行外科手术，尽管大多数病例仅接受药物治疗。4例患者接受了体外冲击波碎石术。我们强调代谢评估的重要性。我们报告了自己的研究方案和结果。
