Are there long-term effects of extracorporeal shockwave lithotripsy in paediatric patients?

作者：El Nahas Ahmed R^*; Awad Bassam A; El Assmy Ahmed M; Abou El Ghar Mohamed E; Eraky Ibrahim; El Kenawy Mahmoud R; Sheir Khaled Z

来源：BJU International, 2013, 111(4): 666-671.

DOI：10.1111/j.1464-410X.2012.11420.x

• long-term follow-up
• SWL
• paediatric
• hypertension
• diabetes

Objective %26lt;br%26gt;To evaluate the long-term effects of extracoporeal shockwave lithotripsy (SWL) for treatment of renal stones in paediatric patients. %26lt;br%26gt;Patients and Methods %26lt;br%26gt;A database of paediatric patients who underwent SWL monotherapy for treatment of renal stones from September 1990 through to January 2009 was compiled. This study included only patients with follow-up for more than 2 years. The long-term effects of SWL were evaluated at the last follow-up with measurement of patients%26apos; arterial blood pressure, estimation of random blood sugar and urine analysis. The results of diastolic blood pressure were plotted against a standardized age reference curve. The treated kidney was examined by ultrasonography for measurement of renal length and detection of stones. The measured renal lengths were plotted against age-calculated normal renal lengths in healthy individuals. %26lt;br%26gt;Results %26lt;br%26gt;The study included 70 patients (44 boys (63%) and 26 girls) with mean age at the time of SWL 6.5 +/- 3.6 years (range 1-14). The mean follow-up period was 5.2 +/- 3.6 years (range 2.1-17.5). The mean age at last follow-up was 11.7 +/- 5.3 years (range 4.4-27.5). No patients developed hypertension or diabetes. Only one treated kidney was smaller than one standard deviation of the calculated length. The cause of this was obstruction by a stone in the pelvic ureter 3 years after SWL. %26lt;br%26gt;Conclusion %26lt;br%26gt;The long-term follow-up after SWL for treatment of renal stones in paediatric patients showed no effect on renal growth and no development of hypertension or diabetes.

• 出版日期2013-4