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[儿童鹿角形肾结石的外科治疗及其对肾功能的影响]

[The surgical treatment of staghorn nephrolithiasis in children and its effect on kidney function].

作者信息

Pavlov A Iu, Krendel' B M

出版信息

Urol Nefrol (Mosk). 1994 Jul-Aug(4):12-5.

PMID:7985290
Abstract

29 children with coral nephroliths were examined by dynamic nephroscintigraphy before surgery, after it and on postoperative month 6-24. The patients whose age ranged from 5 to 15 years underwent sectional nephrolithotomy (22 cases) or partial nephrolithotomy (7 cases). The findings led the authors to the following conclusions: the reduction in the renal function following sectional nephrolithotomy is inversely proportional to preoperative functional deficiency of the affected kidney; application of partial and sectional nephrolithotomy in children with coral and multiple nephroliths is justified only in case of contraindications to extracorporeal impulse lithotripsy; sectional nephrolithotomy in children with coral nephroliths is indicated in initial deficiency of the affected kidney function more than 50%.

摘要

对29例患有珊瑚状肾结石的儿童在手术前、手术后以及术后6至24个月进行了动态肾闪烁扫描检查。年龄在5至15岁的患者接受了肾部分切除术(22例)或肾部分切开取石术(7例)。这些发现使作者得出以下结论:肾部分切除术后肾功能的降低与患肾术前功能缺陷成反比;对于患有珊瑚状和多发性肾结石的儿童,仅在体外冲击波碎石术有禁忌证的情况下,应用肾部分切开取石术和肾部分切除术才是合理的;对于患有珊瑚状肾结石的儿童,当患肾功能初始缺陷超过50%时,应进行肾部分切除术。

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