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本文分析1969~1983年收治的186例儿童尿石症,年龄20个月~15岁,男女之比约2:1,仅8例有代谢性原因。术前尿培养171例,77.2%有尿路感染,合并的尿路异常有肾盂下狭窄、远端输尿管口狭窄、膀胱输尿管逆流、膀胱下排尿障碍、输尿管囊肿和蹄铁肾等。174个结石分析结果,60.1%结石含磷酸盐,显然与术前尿路感染率高有关。本组肾结石占66.2%,输尿管结石26%,膀胱结石6.4%,尿道结石1.4%,双侧结石18例。手术取石175例,同时行成形手术29例。对154例随访6个月~
This article analyzes 186 cases of childhood urolithiasis from 1969 to 1983, aged 20 months to 15 years, the ratio of men to women is about 2: 1, only 8 cases of metabolic causes. Preoperative urinary culture in 171 cases, 77.2% had urinary tract infection, combined urinary tract abnormalities were subrenal stenosis, distal ureteral orifice stenosis, vesicoureteral reflux, bladder urinary disorders, ureterocele and hoof iron kidney. 174 stone analysis results, 60.1% of stones with phosphate, apparently with preoperative urinary tract infection rate is high. The group accounted for 66.2% of kidney stones, ureteral stones 26%, 6.4% of bladder stones, urethral stones 1.4%, 18 cases of bilateral stones. 175 cases of stone surgery, while line forming operation in 29 cases. 154 cases were followed up for 6 months ~