Petritsch P H, Schwarz R
Urology. 1978 Oct;12(4):407-10. doi: 10.1016/0090-4295(78)90290-x.
Reviewed are 56 cases of children suffering from urinary calculous disease between 1970 and 1977; 27 were female and 29 male. The age distribution was from one month to fourteen years. In 34 per cent of the children urodynamic disorders were responsible for stone formation, 23 per cent had identifiable metabolic disorders, and in 43 per cent the cause of stone formation was unknown. Urinary infection was present in 60 per cent of the patients. Forty-five of the 56 children (80 per cent) had to undergo surgery. After surgery 78 per cent remained stone free, while 16 per cent had recurrent stones, only half requiring a second operation. In cases of active stone disease, especially in the group with underlying metabolic disorders, specific therapeutic measures have been applied and the patients regularly investigated afterward.
回顾了1970年至1977年间56例患尿路结石病的儿童;其中女性27例,男性29例。年龄分布为1个月至14岁。34%的儿童尿路动力学紊乱是结石形成的原因,23%有可识别的代谢紊乱,43%的结石形成原因不明。60%的患者存在尿路感染。56名儿童中有45名(80%)不得不接受手术。术后78%的患者无结石残留,16%有复发性结石,只有一半需要再次手术。对于活动性结石病患者,尤其是伴有潜在代谢紊乱的患者,已采取了特定的治疗措施,术后对患者进行定期检查。