小儿上尿路结石286例临床分析

目的:进一步探讨新疆地区小儿泌尿系结石的临床特征.方法:对收治的286例小儿上尿路结石患儿的临床资料进行分析.其有明显的区域、族群分布和结石成分特征;均经影像学确诊;239例行开放手术取石治疗.结果:开放手术取石239例,一次取尽结石率89.0%,术后2～12年复发41(14.3%)例,术中术后未发现严重并发症.结论:影像学检查是诊断小儿泌尿系结石的主要手段,磁共振尿路成像对小儿尿路结石形态诊断,具有较好的实用性和优越性;开放手术适应证广、技术成熟,仍是目前小儿泌尿系结石的主要治疗方法.

Clinical analysis of upper urinary tract calculi in children of 286 patients

Objective:To discuss more clinical traits of urolithiasis children live in Xinjiang.Methods:Analysis 286 clinical materials of urolithiasis children who has been hospitalized and treated in the hospital and found out that calculi constituents are different due to their differences of region,ethnic groups.All cases have been diagnosed through Imaging method;239 cases have been received open operation for calculi.Results:Open operation for calculi 239 cases,one-time calculi free rate 89.02%,post operative recurrence rate 14.34%(41cases)after 2-12 years,there is no complications during or after operation.Conclusions:Image examination is the main diagnosis method for urolithiasis in children,Magnetic resonance urography has a real application and priority for diagnosing morphology of urolithiasis children;Open operation can be used widely due to its technology,adaptability,and it is a main treatment method for urolithiasis in children.