CAJ | 학술논문

目的分析西北地区158例小儿泌尿系结石的病因及发病特点,为小儿泌尿系结石的预防及治疗提供依据.方法通过对兰州军区兰州总医院泌尿外科2010年3月～ 2013年3月收治的158例小儿结石患者的临床资料进行回顾性分析.结果男女结石比例约为1.7,结石部位主要位于上尿路,约占到89.2％.结石的主要成分为草酸钙结石,约占到68.4％.尿代谢异常的约为27.2％.结论小儿结石的发生是多因素共同作用的结果,发病可无特殊表现.有家族性结石病史、泌尿系发育畸形、代谢紊乱、泌尿系感染、钙及维生素D摄入过量特别是配方奶粉喂食均能增加小儿患结石的风险.
목적 분석서북지구158례소인비뇨계결석적병인급발병특점,위소인비뇨계결석적예방급치료제공의거.방법 통과대란주군구란주총의원비뇨외과2010년3월～ 2013년3월수치적158례소인결석환자적림상자료진행회고성분석.결과 남녀결석비례약위1.7,결석부위주요위우상뇨로,약점도89.2％.결석적주요성분위초산개결석,약점도68.4％.뇨대사이상적약위27.2％.결론 소인결석적발생시다인소공동작용적결과,발병가무특수표현.유가족성결석병사、비뇨계발육기형、대사문란、비뇨계감염、개급유생소D섭입과량특별시배방내분위식균능증가소인환결석적풍험.
Objectives Urolithiasis in children is not a very rare situation and the incidence has been increasing in recent years.The purpose of this paper was to investigate the clinical characteristics,metabolic and anatomic risk factors for urolithiasis.Methods The cases of 158 children(58girls,100boys),who were referred to our department between 2010-3 and 2013-3 with urolithiasis,were evaluated.Metabolic disorders were recorded in 27.2％ of cases.Results Our study shows a male predominance of urolithiasis with a sex ratio of 1.7.Stones were located in the upper urinary tract in 89.2％ of cases.Calcium oxalate was the predominant constituent in 68.4 of stones.Conclusions Our results showed that urolithiasis in children may present nonspecific symptoms and may even be asymptomatic and that a positive family history for urolithiasis,urologic abnormalities,metabolic disorders,urinary tract infections,vitamin D administration and feeding with formula may increase the occurrence of urolithiasis in children.