ÇOCUKLUK ÇAĞI ÜRİNER SİSTEM TAŞ HASTALIĞININ CERRAHİ TEDAVİ YÖNTEMLERİ

Üriner sistem taşları çocuklarda değişen çevre, diyet ve genetik faktörler bağlı olarak farklı prevelansta görülür. . Bu çalışma ile üriner system taşı olgularının cerrahi tedavi endikasyonları, tedavi şekli ve sonuçları, ve komplikasyonları açısından değerlendirilmesi amaçlandı. Ocak 2009- Aralık 2013 tarihleri arasında üriner sistem taşı nedeniyle tedavi gören hastalar retrospektif olarak değerlendirildi. Hastaların yaşı , cinsiyeti, var olan taşın etyolojisi, taşın boyutu lokalizasyonu ve sayısı, tedavi şekli, taşsızlık oranları ve ameliyat sonrası komplikasyonları kaydedildi. Toplam 505 hasta değerlendirildi. Hastaların ortalama tanı yaşı 55.8±52.2 ay (0 -216 ay) idi. Çalışmaya alınan 505 olgudan 157 si (%31) opere edildi. Opere edilen hastaların yaş ortalaması 63,6 ± 55,2 ay (0-216 ay) olarak bulundu. Medikal tedavi alan hastalar ile opere edilen hastalarda bulunan taşların boyutları arasında istatistiksel olarak anlamlı fark olduğu görüldü(p>0.05). Operasyon şekli ve rezidü taş kalan hasta sayısı arsında isttistiksel olarak anlamlı fark olmadığı görüldü (p<0.05). Operasyon sonrası yapılan kontrollerde mevcut rezidü taşın lokalizasyonu boyutu ile operasyon şekli arasında istatistiksel olarak anlamlı fark olmadığı görüldü (p<0.05). 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.

Anahtar Kelimeler:

üriner sistem taşı, çocuk, cerrahi

SURGICAL TREATMENT METHODS FOR PEDIATRIC URINARY TRACT STONE DISEASE

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 surgical treatment indications, treatment methods and outcomes, and complications. Patients who were treated for urinary tract stones between January 2009 and December 2013 were retrospectively evaluated. Patients’ age; sex; etiology; size, location, and number of their existing stones; the treatment method; stone-free rates; and postoperative complications were recorded. 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 receiving medical treatment and those who underwent surgery (p > 0.05). There was no statistically significant difference between the surgical method and the number of patients with residual stones (p <0.05). In postoperative checks, there was no statistically significant difference between the size and location of the existing residual stone and the surgical method (p < 0.05). 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 of the disease.

Keywords:

urinary tract stones, children, surgery,

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