Pavlov A Iu, Krendel' B M
Urol Nefrol (Mosk). 1994 Jul-Aug(4):12-5.
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%.
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。
