Schultz-Lampel D, Lampel A, Lazica M, Thüroff J W
Klinik für Urologie und Kinderurologie, Klinikum Wuppertal GmbH, Universität Witten/Herdecke, Wuppertal.
Urologe A. 1997 May;36(3):200-8.
In general, the criteria for treatment of urolithiasis in children are the same as those for adults. Today, extracorporeal shock wave lithotripsy (ESWL) is the method of choice for treatment of most pediatric urinary stones. Stone-free rates between 57% and 97% at short-term follow-up and 57%-92% at long-term follow-up have proven the efficacy of ESWL treatment in children. So far, there is no evidence of negative side effects of ESWL treatment in children in the long-term, confirming the safety of ESWL treatment seen in the short-term results. In particular, neither induction of hypertension nor deterioration of renal function have been detected in children when limitation of shock wave energy and shock wave numbers have been carefully observed.
一般来说,儿童尿路结石的治疗标准与成人相同。如今,体外冲击波碎石术(ESWL)是治疗大多数小儿尿路结石的首选方法。短期随访时结石清除率在57%至97%之间,长期随访时为57% - 92%,这证明了ESWL治疗儿童结石的有效性。到目前为止,尚无证据表明ESWL治疗对儿童有长期负面副作用,这证实了短期结果中ESWL治疗的安全性。特别是,当仔细观察冲击波能量和冲击波次数的限制时,未在儿童中检测到高血压的诱发或肾功能的恶化。