Malek R S, Kelalis P P
J Urol. 1976 Jun;115(6):717-9. doi: 10.1016/s0022-5347(17)59347-7.
Among renal stone-forming children 6 per cent suffer from primary hyperparathyroidism. Urologic complications were noted in 7 of 9 children (78 per cent) with surgically proved hyperparathyroidism seen in a 24-year period. These included nephrolithiasis and nephrocalcinosis (6), defective urinary concentration or acidification (5) and mild impairment of renal function (3). All children responded favorably to parathyroidectomy, which should be performed before treatment of stone disease is undertaken. The nature of urologic manifestations of hyperparathyroidism and their management are discussed.
在患有肾结石的儿童中，6%患有原发性甲状旁腺功能亢进症。在24年期间所见的9例经手术证实为甲状旁腺功能亢进症的儿童中，有7例（78%）出现了泌尿系统并发症。这些并发症包括肾结石和肾钙质沉着症（6例）、尿浓缩或酸化功能缺陷（5例）以及肾功能轻度损害（3例）。所有儿童接受甲状旁腺切除术后反应良好，该手术应在治疗结石病之前进行。本文讨论了甲状旁腺功能亢进症泌尿系统表现的性质及其处理方法。
