THE DIAGNOSTICS OF COMPLICATED NEPHROLITIASIS IN CHILDREN

Abstract

Under supervision of authors there were 226 patients with complicated nephrolithiasis from age of 1 year till 15 years. The risk factors of nephrolithiasis are diseases of mothers, related marriages and the various pathologies burdening the basic disease were revealed which seen at 87% of sick children. Anomalies of development of urinary tract are revealed in 35,8% of cases. The results of excretory urography has shown dysfunctions of kidneys in 61,5% of cases. Among complications the first one is calculous pyelonephritis (81,7%), then calculous hydronephrosis was observed at every second child (49,7%). In 86,1% of cases at children of early age nephrolithiasis was observed with pathologies of somatic and urological character. Intraoperative incisional biopsy has allowed to define the criteria of combined kidney defeats hydro- and pyelonephritic processes, and also various dysplastic changes of parenchyma of kidneys.

References

[1] Аляев Ю.Г., Руденко В.И. и др. Современные аспекты диагностики и лечения мочекаменной болезни // Урология. 2006. № 2. С. 51-56.

[2] Дасаева Л.А., Вермель А.Е., Шилов Е.М., Петриченко С.И. Возрастные особенности мочекаменной болезни: распространенность и факторы риска // Профилактика заболеваний и укрепление здоровья. 2005. № 1. С. 31-34.

[3] Азизов А.А., Махмаджонов Д.М. Вопросы диагностики и лечения острых обстукции при нефролитиазе у детей // Материалы Республиканской научно-практической конференции «Осложнения уролитиаза у детей». - Душанбе, 1998. - 362 с.

[4] Пулатов А.Т. Уролитиаз у детей. - М.: Медицина, 1990. - С. 204.

[5] Bortoletti R., Cai T. et al. Epidimiology and risk factors in urolithiasis // Ann. NY Acad. Sci. 2007, Nov. Vol. 1116. Р. 461-484.

[6] Coe F.A., Euan A. et al. Kidney stone disease // J. Clin. Inverst. 2005, Okt. Vol. 115, N 10. Р. 2998-3608.

RIGHTS & PERMISSIONS

Mahmadjonov D.M., Sultonov S.R.