Androulakakis P A, Michael V, Polychronopoulou S, Aghioutantis C
Department of Paediatric Urology, Aghia Sophia Children's Hospital, Athens, Greece.
Br J Urol. 1991 Feb;67(2):206-9. doi: 10.1111/j.1464-410x.1991.tb15111.x.
A group of 44 patients, aged from 10 months to 14 years, underwent surgery for urinary calculi over a 7-year period (1982-1989). Eleven patients had bilateral or multiple calculi (total number of stones = 55, 20 of which were staghorn). Metabolic disorders (n = 25) and Proteus urinary infection (n = 15) were the 2 factors most often associated with lithiasis. Of the 55 stones, 51 were removed by open surgery. Complete stone clearance was achieved in 29 of 36 kidneys. Follow-up periods in the remaining 7 renal units (with small residual fragments) ranged from 3.5 to 7.5 years (mean 6.2) and revealed stone recurrence in only 2 patients. Evaluation of childhood urolithiasis should include thorough metabolic investigation and sound surgical judgment; effective management requires prolonged post-operative follow-up.
一组年龄在10个月至14岁之间的44例患者，在7年期间（1982 - 1989年）接受了尿路结石手术。11例患者有双侧或多发性结石（结石总数 = 55枚，其中20枚为鹿角形结石）。代谢紊乱（n = 25）和变形杆菌尿路感染（n = 15）是与结石形成最常相关的两个因素。在55枚结石中，51枚通过开放手术取出。36个肾脏中有29个实现了结石完全清除。其余7个肾单位（有小的残留碎片）的随访期为3.5至7.5年（平均6.2年），仅2例患者出现结石复发。儿童尿路结石的评估应包括全面的代谢检查和合理的手术判断；有效的管理需要术后长期随访。
