Dore B, Aubert J, Cukier J
Service d'Urologie, CHRU, Poitiers.
J Urol (Paris). 1988;94(8):375-9.
In a 6 cases report of stones developed in horseshoe kidney in children, from 25 months old to 14 years old, diagnosis and surgical problems are analysed. Another urological malformations have to be researched mainly vesico renal reflux and pyelo ureteric junction obstruction. Diagnosis is usually made when stones give complications where septic obstruction is not rare and can be severe in children. Pre and intra-operative sonography can currently do the stone localisation. Surgical management of stones developed in horseshoe kidney seems to be done still by open surgery because new techniques as Eswl or percutaneous lithotripsy can be difficult to perform or dangerous in children on this malformation. Number of operations can often be higher than in adults, to do both treatment of the stone and associated malformation as PUJ obstruction, mainly if there are infected and septic complications.
在一篇关于25个月至14岁儿童马蹄肾结石的6例病例报告中,分析了诊断和手术问题。必须研究其他泌尿系统畸形,主要是膀胱肾反流和肾盂输尿管连接处梗阻。当结石引发并发症时通常会做出诊断,儿童中脓毒性梗阻并不罕见且可能很严重。目前术前和术中超声检查可进行结石定位。马蹄肾中形成的结石的手术治疗似乎仍通过开放手术进行,因为诸如体外冲击波碎石术(ESWL)或经皮肾镜碎石术等新技术在患有这种畸形的儿童中可能难以实施或有危险。手术次数通常可能比成人更高,既要治疗结石又要治疗相关畸形,如肾盂输尿管连接处梗阻,尤其是在存在感染和脓毒性并发症的情况下。