[The surgical treatment of staghorn nephrolithiasis in children and its effect on kidney function].
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%.
Pavlov
A Iu
AIu
Krendel'
B M
BM
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007669:Kidney Calculi / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D009403:Nephrostomy, Percutaneous; D011859:Radiography; D011866:Radioisotope Renography; D014463:Ultrasonography
Operativnoe lechenie korallovidnogo nefrolitiaza u deteĭ i ego vliianie na funktsiiu pochki.