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Acta
Medica Medianae
Vol. 45
Number 2, April, 2006
UDK 61
YU ISSN 0365-4478
Contact:
Andjelka
Slavković
Children Surgery and Ortophedic Clinic Clinical center
48 Dr Zoran
Djindjić
Street
18000 Nis, Serbia
Tel.:063/455425
E-mail:aslavkovic@ptt.yu
Copyright 2006
by Faculty of Medicine, University of Nis
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Mother and Child
Health Care Institute „Dr Vukan Čupić“ in
Belgrade1
Children Surgery and Ortopedic Clinic Clinical Center of Nis
2
Institut za radiologiju Kliničkog centra u Nišu 3
Institut za nuklearnu medicinu Kliničkog centra u Nišu 4
Dečja interna klinika Kliničkog centra u Nišu 5
The paper presents the experiences in the treatment of urinary tract
calculosis in 114 children aged 6 months to 14 years by means of
extracorporeal shock wave lithotripsy (ESWL).
The treatment was performed at the Institute of Radiology and the Clinic
for Pediatric Surgery and Orthopedics in Nis, in the period 1988-2000 on
Siemens Litostar lithotriptor. The children were treated after clinical,
laboratory and radiological preparation, provided that the stone was not
greater than 3 cm (measured in native urinary tract graph) and that it
was not located in the pelvic part of the ureter. In the present study,
the success in application of ESWL for treating pediatric patients was
88%. The total clearance of fragments was found in 57% of patients,
whereas retention of fragments smaller than 4 mm three months after the
last treatment was present in 31% of patients. ESWL treatment failed in
12% of patients since they had retained fragments greater than 4 mm.
The authors recommend this method as a method of choice in the treatment
of renal and urethral calculi in children.
Acta Medica
Medianae 2006;45(2):27-31.
Key
words:
extracorporeal shockwave lithototripsy, urolithiasis, complications |
