H. Tuğrul TİRYAKİ, Fatma ÖZCAN SIKI

Çocukluk Çağı Üriner Sistem Taş Hastalığının Cerrahi Tedavi Yöntemleri

Amaç: Üriner system taşları çocuklarda değişen çevre, diyet ve genetik faktörlere bağlı olarak farklı prevelansta görülür. Bu çalışma ile üriner system taşı olgularının cerrahi tedavi endikasyonları, tedavi şekli ve sonuçları, ve komplikasyonları açısından değerlendirilmesi amaçlandı. Gereç ve Yöntemler: Ocak 2009- Aralık 2013 tarihleri arasında üriner system taşı nedeniyle tedavi gören hastalar retrospektif olarak değerlendirildi. Hastaların yaşı, cinsiyeti, taşın etyolojisi, taşın boyutu, lokalizasyonu ve sayısı, tedavi şekli, taşsızlık oranları ve ameliyat sonrası komplikasyonları kaydedildi. Bulgular: Toplam 505 hasta değerlendirildi. Hastaların ortalama tanı yaşı 55.8±52.2 ay (0 -216 ay)’dı. Çalışmaya alınan 505 olgudan 157’si (%31) opera edildi. Opere edilen hastaların yaş ortalaması 63.6 ± 55.2 ay (0-216 ay) olarak bulundu. Medikal tedavi alan hastalar ile opera edilen hastalarda bulunan taşların boyutları arasında istatistiksel anlamlı fark olduğu görüldü (p0.05). Operasyon sonrası yapılan kontrollerde mevcut rezidü taşın lokalizasyonu boyutu ile operasyon şekli arasında istatistiksel anlamlı fark olmadığı görüldü (p>0.05). Sonuç: Üriner sistem taş hastalığı çocukluk çağının önemli bir sağlık sorunudur. Etiyolojiyi aydınlatmak , cerrahi endikasyonları belirlemek ve uygun prosedürü kullanarak ameliyat etmek hastalığın tedavisinde önemli bir yer tutar.

Surgical Treatment Methods For Pediatric Urinary Tract Stone Disease

Objective: Stones of the urinary system occur in children at varying prevalence depending on the changing environment,diet, and genetic factors. The aim of this study was to evaluate patients with urinary tract stones in terms of surgicaltreatment indications, treatment methods and outcomes, and complications.Material and Methods: Patients who were treated for urinary tract stones between January 2009 and December2013 were retrospectively evaluated. Patients’ age,sex,etiology, size, location, and number of their existing stones,thetreatment method,stone-free rates, and postoperative complications were recorded.Results: A total of 505 patients were evaluated. The mean age of the patients at the time of diagnosis was 55.8±52.2(0–216) months. Of the 505 cases, 157 (31%) underwent surgery. The mean age of the patients was 63.6±55.2 (0–216)months. There was a statistically significant difference between the sizes of the stones found in patients receivingmedical treatment and those who underwent surgery (p0.05). In postoperative checks, there was nostatistically significant difference between the size and location of the existing residual stone and the surgical method(p>0.05).Conclusion: Stone disease of the urinary system is an important health concern in children. Determining the etiology,identifying surgical indications, and performing surgery using appropriate procedures play a key role in the treatment ofthe disease.

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