Русский
Postoperative treatment of children with renal form of primary hyperparathyroidism
DOI: https://dx.doi.org/10.18565/nephrology.2022.2.56-58
A.A. Nasirov, F.F. Baiakhmedov, H.N. Khotamov, T.R. Khoshimov
1) Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan; 2) Uronephrology Department of the Clinic of the Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
Objective. Improvement of the the results of postoperative treatment of the renal form of primary hyperparathyroidism in children.
Material and methods. From 2001 to 2020, 2100 children with urolithiasis were studied. Of these, 52 (2.47%) patients were diagnosed with a renal form of primary hyperparathyroidism (PHPT), they underwent surgical interventions in incremental steps and according to indications.
Results. Prevention, metaphylaxis and rehabilitation measures depended on the etiopathogenesis of urolithiasis and its complications, and were carried out in the pre- and postoperative periods (from the moment the patients were admitted to the hospital), individually for each patient.
Conclusion. Metaphylactic measures, which included medication and dietary measures in 52 children with urolithiasis and PHPT with impaired renal function improved the effectiveness of surgical treatment. A significantly lower rate of recurrent stone formation was recorded in patients who followed the recommendations in full, compared with those who followed them partially or did not follow them at all. Preventive measures were carried out individually for each child, depending on the etiopathogenesis and complications of the disease.
Material and methods. From 2001 to 2020, 2100 children with urolithiasis were studied. Of these, 52 (2.47%) patients were diagnosed with a renal form of primary hyperparathyroidism (PHPT), they underwent surgical interventions in incremental steps and according to indications.
Results. Prevention, metaphylaxis and rehabilitation measures depended on the etiopathogenesis of urolithiasis and its complications, and were carried out in the pre- and postoperative periods (from the moment the patients were admitted to the hospital), individually for each patient.
Conclusion. Metaphylactic measures, which included medication and dietary measures in 52 children with urolithiasis and PHPT with impaired renal function improved the effectiveness of surgical treatment. A significantly lower rate of recurrent stone formation was recorded in patients who followed the recommendations in full, compared with those who followed them partially or did not follow them at all. Preventive measures were carried out individually for each child, depending on the etiopathogenesis and complications of the disease.
About the Autors
Abdusattor A. Nasirov – Dr. Sci. (Med.), Associate Professor of the Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute, Tashkent.
Fatkhullo F. Baiakhmedov – Senior Lecturer, Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute, Tashkent.
Khusnitdin N. Khotamov – Cand. Sci. (Med.), Associate Professor at the Department of Faculty Pediatric Surgery, Tashkent Pediatric Medical Institute, Tashkent; e-mail: husni69@mail.ru
Tulkin R. Khoshimov – Head of the Uronephrology Department of the Clinic of the Tashkent Pediatric Medical Institute, Tashkent
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