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儿童复发性和残留性肾结石

Recurrent and residual renal calculi in children.

作者信息

MacDonald I, Azmy A F

机构信息

Department of Paediatric Surgery, Royal Hospital for Sick Children, Glasgow.

出版信息

Br J Urol. 1988 May;61(5):395-8. doi: 10.1111/j.1464-410x.1988.tb06582.x.

Abstract

One hundred and thirteen children with non-metabolic urinary tract calculi were operated on between 1960 and 1983. One hundred were followed up for 3 to 17 years (mean 8.2). Seventeen children (15%) developed recurrent calculi after complete clearance at the initial operation and in 13 of these the stones recurred within 5 years. Proteus urinary infection was a constant feature of stone recurrence. Five patients required re-operation for removal of the recurrent calculus. Small residual caliceal fragments were left behind in 17 children but only 3 required surgical removal.

摘要

1960年至1983年间,对113例非代谢性尿路结石患儿进行了手术治疗。其中100例接受了3至17年的随访(平均8.2年)。17名儿童(15%)在初次手术结石完全清除后出现结石复发,其中13例在5年内复发。变形杆菌尿路感染是结石复发的一个持续特征。5例患者因复发性结石需要再次手术取出。17名儿童留有小的残余肾盏碎片,但只有3例需要手术切除。

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