Urinary Stone Disease and Renal Microlithiasis In Children: A Single Centre Study

Yıl 2023, Cilt: 4 Sayı: 1, 25 - 33, 29.06.2023

Esra Nagehan Akyol Onder , Murat Kılıçaslan , Mehmet Semih Demirtaş , Cengizhan Kılıçaslan

Öz

defined as a renal hyperechogenic focus smaller than 3 mm in diameter on urinary ultrasound. The clinical importance of ML remains controversial in the pediatric population. The current study evaluated the differences in the demographic data and metabolic abnormalities between children with renal ML and those with overt nephrolithiasis. There were statistically significant differences between the two groups in terms of laterality, number of stones, stone diameter, urinary tract infections, pain at presentation, incidental kidney stones, urine density, hypercalciuria, spot urine uric acid/creatinine ratio, urine sodium/potassium ratio, and potassium citrate therapy (p = 0.02, p = 0.03, p < 0.001, p = 0.02, p = 0.04, p = 0.01, p = 0.04, p = 0.02, p < 0.001, p = 0.03, p = 0.041, and p = 0.013, respectively). ML may be the first stage in the development of overt nephrolithiasis. Therefore, all patients with urolithiasis, regardless of stone size, should be followed up to prevent complications of the disease.

Anahtar Kelimeler

Children, microlithiasis, nephrolithiasis

Destekleyen Kurum

none

Proje Numarası

none

Teşekkür

none

Çocuklarda Üriner Taş Hastalığı ve Renal Mikrolitiyazis: Tek Merkezli Bir Çalışma

Öz

Nefrolitiazis, çocuklarda görülme sıklığı giderek artan yaygın bir hastalıktır. Renal mikrolitiazis (ML), üriner ultrasonda 3 mm'den küçük renal hiperekojenik odak olarak tanımlanır. Pediyatrik popülasyonda ML'nin klinik önemi halen tartışmalıdır. Bu çalışma, çocuklarda renal ML ve aşikar nefrolitiazisli çocukların demografik verileri ve metabolik anormalliklerindeki farklılıkları değerlendirdi. İki grup arasında lateralite, taş sayısı, taş çapı, İYE, ağrı ile prezentasyon, rastlantısal olarak saptanan böbrek taşı, idrar yoğunluğu, hiperkalsiüri, spot idrar ürik asit/kreatinin oranı, idrar sodyum/potasyum oranı, ve potasyum sitrat tedavisi alma (p = 0,02, p = 0,03, p<0,001, p = 0,02, p = 0,04, p = 0,01, p = 0,04, p = 0,02, p<0,001, p = 0,03, p = 0,041 ve p = 0.013, sırasıyla) açısından anlamlı fark saptandı. ML, aşikar nefrolitiazisin gelişimindeki ilk basamak olabilir. Bu nedenle, ürolitiazis saptanan tüm hastalar taş boyutuna bakılmaksızın hastalığın komplikasyonlarını önlemek amacı ile takip altına alınmalıdır.

Anahtar Kelimeler

Çocuk, mikrolitiyazis, nefrolitiyazis

Proje Numarası

none

Kaynakça

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