Pediatric urolithiasis in Kuwait
Pediatric urolithiasis in Kuwait
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DOI：
10.1023/a:1014419830292
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发表时间：
2002-01-01
影响因子：
2
通讯作者：
Gupta, R.
中科院分区：
文献类型：
--
作者：
Al-Eisa, A. A.;Al-Hunayyan, A.;Gupta, R.
在这项回顾性研究中，我们回顾了1996年1月至2000年9月间31名科威特儿童的肾结石病例。男女之比为2.1：1，平均发病年龄为38个月。有58%的人报告有肾结石家族史。结石位于肾脏占74.1%，输尿管占6%，膀胱占9.6%。双侧结石占64.5%。临床表现：血尿70.9%，结石排出64.5%，腹痛41.9%，尿路感染29%，无菌脓尿22.9%，尿潴留16%。结石形成原因：高钙尿38.7%，高草酸尿19.3%，胱氨酸尿12.9%，黄嘌呤尿12.9%，尿路感染3.2%，梗阻9.6%，特发性3.2%。总之，致石代谢原因被发现是科威特儿童结石形成的主要诱因，而饮食和环境因素起到的作用很小。
In this retrospective study, 31 Kuwaiti children with renal stones were reviewed between January 1996 and September 2000. Male to Female ratio was 2.1:1 with a mean age at presentation of 38 months. Family history of renal stones was reported in 58%. Stones were localized to the kidneys in 74.1%, to ureters in 6% and to the bladder in 9.6%. Bilateral stones were found in 64.5%. Clinical manifestations included: hematuria in 70.9%, passage of stones in 64.5%, abdominal pain in 41.9%, urinary tract infections in 29%, sterile pyuria in 22.9% and urine retention in 16%. Causes of stone formation included hypercalciuria in 38.7%, hyperoxaluria in 19.3%, cystinuria in 12.9%, xanthinuria in 12.9%, urinary tract infection in 3.2%, obstruction in 9.6% and idiopathic in 3.2%. In conclusion, lithogenic metabolic causes were found to be the major predisposing factors to stone formation among Kuwaiti children whereas diet and environmental factors played a trivial role.