Выбор первичной хирургической помощи при почечной форме первичного гиперпаратиреоидизма у детей

Аннотация

The primary hyperparathyroidism (PHPT) was diagnosed in 52 children with urolithiasis aged from 12 months to 15 years on the basis of use of clinical-biochemical and instrumental examinations. PHPT was manifested as severe forms of nephrolithiasis: bilateral single (32.6%), bilateral multiple (36,5%), and recurrent (59,6%) form. The staghorn calculi were noted in 45 (51,1%) kidneys. Hypcrparathyrincmia-hypcrparacalccmia occurred after lithotomy was successfully treated with conservative approach, in cases of lithotomy inefficacy there were identified indications for he-modyalisis and parathyroidectomy. The authors believed that in the patients with obturation uropathy the preliminary formation of the percutaneous puncture nephrostomy seems to be advantageous that is justified by less injury of this method and pathogenic approach to the choice of the primary intervention in nephrolithiasis of hyperparathyroid genesis.