Abulikemu Maimaitituerxun,Alimujiang Abulaizi,Aierken Tuerxun,et al.Management of calcular obstructed solitary kidney:a report of 11 cases.[J].Journal of Clinical Pediatric Surgery,,17():457-461.
Management of calcular obstructed solitary kidney:a report of 11 cases.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 06
Page:
457-461
Column:
论著
Date of publication:
2018-06-28
- Keywords:
- Kidney Calculi; Kidney/IN; Urinary Calculi; Therapy; Infant
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the etiology,management and efficacy of calcular obstructive acute kidney injury with solitary kidney in infants.MethodsRetrospective analyses were performed for the clinical data of 11 infants with calcular obstructed AKI and solitary kidney.There were kidney stone (n=2),kidney & ureteral stone (n=5) and lower ureteral stone (n=4) (including 1 case with current bladder stone),radiopaque stones (n=2) and radiolucent stones (n=9).Preoperation mean level of blood urea nitrogen (BUN) was (21.85±8.88) mmol/L,mean (Cr) level was (276.73±127.52) μmol/L and stone size (8.64±202.64) mm.ResultsThe symptoms abated in 3 cases after conservative measures. And one of them discharged kidney calculi by himself. The severity of hydronephrosis was greater in one of them after 3 months. Ureteral holmium laser lithotripsy and double J stenting were performed. Three patients underwent open surgery and 6 had DJ stenting.Then 4/6 cases underwent twophase ureterocopic lithotrity. No other serious complications or death occurred during the perioperative period. Postoperative followups lasted 2-15 months. All renal functions recovered with a stonefree rate of 100%. ConclusionFor infants with calcular obstructed AKI and solitary kidney,emergent endoscopic management should be attempted as a first choice to relieve obstruction without delay and protect renal function.
Last Update:
2018-06-26