Contemporary perspective on the problem of risk factors for complicated nephrolithiasis in children
https://doi.org/10.52888/0514-2515-2023-359-4-5-9
Abstract
Aim. To improve the effectiveness of prevention and metaphylaxis in complicated nephrolithiasis among children.
Material and methods. Based on many years of experience in a pediatric urology department of a children’s surgery clinic, we have accumulated significant data on risk factors and their importance in practical work. Using data from 152 patients, we have developed a clinical classification and a list of risk factors.
Results of the stady. The study identified various risk factors such as: age of children; variants of nephrolithiasis (unilateral, bilateral, solitary, multiple, staghorn, obstructive); stages of CP, CG, CKD, pyonephrosis and paranephritis; stages, volume and methods of surgery; dysmetabolic nephropathy and dysplasia of the renal parenchyma. By studying and analyzing risk factors in 152 patients with complicated nephrolithiasis, covering etiopathogenesis, volume of surgery, errors during surgery and factors of recurrent stone formation, we developed a clinical classification of risk factors, which was introduced into the scientific and practical activities of doctors.
Conclusion. Summarizing the importance of risk factors for complicated nephrolithiasis, it is necessary to consider a combination of etiopathogenetic, clinical-laboratory, reconstructive-restorative, rehabilitative, and prognostic risk factors, to improve the quality of life for children with nephrolithiasis.
About the Authors
A. A. Azizov
SEI Avicenna Tajik State Medical University, Department of Pediatric Surgery ; State Institution «Republican Scientific Clinical Center of Pediatrics and Child Surgery»
Tajikistan
Tajikistan
Azizov Azam Azizovich – Doctor of Medical Sciences, Professor of the Department of Pediatric Surgery
Tel.: +992918644151
F. Kh. Safedov
SEI Avicenna Tajik State Medical University, Department of Pediatric Surgery
Tajikistan
Tajikistan
Sh. A. Badalov
SEI Avicenna Tajik State Medical University, Department of Pediatric Surgery ; State Institution «Republican Scientific Clinical Center of Pediatrics and Child Surgery»
Tajikistan
Tajikistan
D. R. Magzumov
Medical diagnostic center «Shifoi Rahmon»
Tajikistan
Tajikistan
B. A. Azizov
Medical diagnostic center «Shifoi Rahmon»
Tajikistan
Tajikistan
References
1. Vardak A.V., Arustamov L.D., Rudin Yu.E. Perkutannaya nefrolitotripsiya u detey s krupnymi i korallovidnymi konkrementami [Percutaneous nephrolithotripsy in children with large and corallike nodules]. Pediatriya. Zhurnal im. G.N. Speranskogo - Pediatrics. Journal named after G.N. Speranskiy, 2020, Vol. 99, No. 5, pp. 169-175.
2. Nabiev Z.N., Makhmadzhonov D.M. Kachestvo zhizni u detey s mochekamennoy boleznyu posle operatsii [Quality of life in children with urolithiasis after surgery]. Zdravookhranenie Tadzhikistana – Healthcare of Tajikistan, 2015, No. S1, pp. 148-149.
3. Nasyrov A.A., Aliev M.M., Khashimov T.R. Takticheskie voprosy khirurgii nefrolitiaza u detey s pervichnym giperparatireozom [Tactical issues of nephrolithiasis surgery in children with primary hyperparathyroidism]. Detskaya khirurgiya - Pediatric surgery, 2012, No. 3, pp. 20-22.
4. Azizov A.A. Oid ba masalai istifodaba-rii tabobat tavassuti boftaҳo ҳangomi nefrolitiazi duҷonibai bisyorҷoyai marjonshakl dar zaminai pielonefriti kalkulyozv va bemorii muzmini gurdaҳo dar kуdakon [On the use of tissue therapy in bilateral multilocular coralloid nephrolithiasis based on calculous pyelonephritis and chronic kidney disease in children.]. Avdzhi zukhal, 2023, No. 2, pp. 105-110.
5. Ibodov Kh., Ikromov T.Sh. Osobennosti lecheniya kalkuleznogo pielonefrita u detey s odnostoronnim nefrolitiazom [Features of treatment of calculous pyelonephritis in children with unilateral nephrolithiasis]. Meditsinskiy vestnik Natsionalnoy akademii nauk Tadzhikistana - Medical herald of the National academy of sciences of Tajikistan, 2021, Vol. 11, No. 4 (40), pp. 29-37.
6. Abdufataev T.A. Otsenka funktsionalnogo sostoyaniya pochek u detey s nefrolitiazom [Assessment of renal functional status in children with nephrolithiasis]. Nauchno-prakticheskiy zhurnal Tadzikskogo intituta poslediplomnoy podgotovki meditsinskikh kadrov - Scientific and practical journal of Tajik institute of post-graduate education of medical staff, 2011, No. 2, pp. 9-14.
7. Ibodov Kh.I., Ikromov T.Sh. Rezultaty mini perkutannykh vmeshatelstv pri odnostoronnem nefrolitiaze u detey [Results of mini percutaneous interventions for unilateral nephrolithiasis in children]. Zdravookhranenie Tadzhikistana – Healthcare of Tajikistan, 2021, No. 1, pp. 36-40.
8. Boboev Z.A. Sravnitelnaya otsenka traditsionnykh i endoskopicheskikh metodov lecheniya urolitiaza u detey [Comparative evaluation of traditional and endoscopic methods of treatment of urolithiasis in children]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya - Herald of institute of postgraduate education in health sphere, 2021, No. 2, pp. 16-20.
Review
For citations:
Azizov A.A., Safedov F.Kh., Badalov Sh.A., Magzumov D.R., Azizov B.A. Contemporary perspective on the problem of risk factors for complicated nephrolithiasis in children. Health care of Tajikistan. 2023;(4):5-10. (In Russ.) https://doi.org/10.52888/0514-2515-2023-359-4-5-9
Views:
333
Email this article 