小儿肾结石患者不同代谢异常的频率

A. Aziz, A. Nawaz, N. Sultan
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引用次数: 1

摘要

高达15%的15岁以下儿童可能患有小儿尿石症,这与严重的发病率和高复发率有关。这种情况仍然是一个严重的泌尿系统问题。在86%到96.1%患有肾结石的儿童中,代谢异常是尿石症最常见的原因之一。高钙尿、高草酸尿、高尿酸和低尿酸是最常见的代谢性疾病。为了治疗和预防肾结石患儿,识别几种代谢异常是至关重要的。材料和方法:在IKD, HMC,泌尿科进行描述性横断面研究。这项研究涵盖了15岁以下的儿科尿石症患者。所有尿石症患者在第一次就诊时进行24小时尿液代谢异常测定。结果:165例患者中有119例(72.12%)出现代谢紊乱。119例患者中,高钙脲56例(47.05%),低钠脲31例(26.05%),高草酸脲18例(15.12%),高尿酸14例(11.65%)。119例患者中41例为年轻女性,占34.45%,占78例(65.54%)。最常见的表现是低尿酸和高钙尿。结论:儿童尿石症多由代谢紊乱引起,可治愈、可避免。为了发现、治疗和预防尿石症的复发以及由尿石症引起的儿科患者的发病率,建议所有首次出现尿石症的儿科患者进行广泛的调查。关键词:代谢异常,复发性肾结石,尿石症
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Frequency of Different Metoboloic Abnormalities in Paediatric Age Group with Renal Stone Diseases
Introduction: Up to 15% of children under the age of 15 may have paediatric urolithiasis, which is linked with severe morbidity and high recurrence rates. This condition is still a serious urological concern. In 86% to 96.1% of kids with kidney stone disorders, metabolic abnormalities are one of the most frequent causes of urolithiasis. Hypercalciuria, hyperoxaluria, hyperuricosurea, and hypocitraturea are the most prevalent metabolic disorders. In order to treat and prevent renal stones in children with renal stone disorders, it is crucial to identify several metabolic abnormalities. Materials and Methods: Descriptive Cross-Sectional Study at the IKD, HMC, Urology Department. This research covered paediatric patients with urolithiasis under the age of 15 years. All patients with urolithiasis had a 24-hour urine assay for metabolic abnormalities on their first visit. Results: 119 individuals, or 72.12%, of the total 165 patients, exhibited metabolic disorders. Out of 119 patients, hypercalciurea affected 56 patients (47.05%), hypocitraturea affected 31 patients (26.05%), hyperoxalurea affected 18 patients (15.12%), and hyperuricosurea affected 14 patients (11.65%). 41 patients, or 34.45% of the 119 total patients, were female youngsters, making up 78 patients (65.54%). The most frequent findings were hypocitraturea and hypercalciuria. Conclusion: Urolithiasis in children is often brought on by metabolic disorders, which are curable and avoidable. In order to detect, treat, and prevent urolithiasis recurrence as well as morbidities brought on by urolithiasis in paediatric patients, it is advised that all paediatric patients presenting with urolithiasis for the first time undergo extensive investigation. Keywords: Metabolic Abnormalities, Recurrent Renal Stones, Urolithiasis
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