Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector59910.55308/1560-9510-2022-26-6-321-326ReviewsОБЗОРЫRemote shock wave lithotripsy in the treatment of urolithiasis in children: types and possibilitiesДистанционная ударно-волновая литотрипсия в лечении мочекаменной болезни у детей: виды и возможности (обзор литературы)https://orcid.org/0000-0002-4038-1472ZorkinS. N.ЗоркинС. Н.
Russian Federation

119991, Moscow

119991, Москва

https://orcid.org/0000-0003-3640-9994NikulinO. D.НикулинО. Д.
Russian Federation

Oleg D. Nikulin, pediatric surgeon

119991, Moscow

Никулин Олег Даниилович, врач-детский хирург

119991, Москва

dr.nikulin.oleg@yandex.ruhttps://orcid.org/0000-0003-2883-2493ShahnovskiyD. S.ШахновскийД. С.
Russian Federation

119991, Moscow

119991, Москва

National Medical Research Center of Children’s HealthФГАУ «Национальный медицинский исследовательский центр здоровья детей» Министерства здравоохранения Российской Федерации2912202226632132608022023080220232022https://jps-nmp.ru/jour/article/view/599

Introduction. Recently, the prevalence of urolithiasis in pediatric population has been steadily increasing, but up to now there is no any universal technique for treating urolithiasis in children. Among many options for surgical treatment of upper urinary tract urolithiasis, remote lithotripsy occupies one of the leading positions.Purpose. To highlight principles and mechanisms of remote lithotripsy, its indications and contraindications using a systemic review of modern literature for the period of 2001–2021.Material and methods. A systematic review of foreign and domestic literature for the period of 2001–2021 was made. Key words for the search were : urinary stone disease, urolithiasis, remote (shock wave) nephrolithotripsy, fragmentation of stones. 64 full-text articles out of 1339 literature sources are included in the review.Results. On analyzing the obtained results, it has been found out that one session of remote shock wave lithotripsy is effective in more than 90% of cases, if calculus dimensions are less than 20 mm and its density is less than 1200–1500 Hounsfield units. Location of the calculus also plays a role.Conclusion. Remote shock wave lithotripsy is a reasonable option due to a number of facts, the main of which are non-invasive approach and a large percentage of favorable outcomes associated with cleaning the upper urinary tract from stones.

Введение. За последние годы распространённость мочекаменной болезни в детской популяции неуклонно растёт, однако универсального метода лечения уролитиаза нет и по сегодняшний день. Среди множества вариантов хирургического лечения конкрементов верхних мочевыводящих путей, дистанционная литотрипсия занимает одну из лидирующих позиций.Цель – освещение принципов и механизмов проведения дистанционной литотрипсии, показаний и противопоказаний к данному методу лечения на основании систематического обзора литературы за период с 2001 по 2021 г.Материал и методы. Проведён систематический обзор в иностранных и отечественных базах данных за период с 2001 по 2021 г. Для поиска использовались ключевые слова: мочекаменная болезнь, уролитиаз, дистанционная (ударно-волновая) нефролитотрипсия, дробление конкрементов. Из 1339 источников литературы в обзор включены 64 полнотекстовых статьи. Результаты. Оценивая результаты лечения при использовании метода дистанционной ударно-волновой литотрипсии, отмечено, что эффективность одного сеанса при размере конкремента менее 20 мм и его плотности менее 1200–1500 единиц Хаунсфилда может превышать 90%, в зависимости от расположения конкремента.Заключение. Целесообразность использования дистанционной ударно-волновой литотрипсии обусловлена рядом фактов, главными из которых являются неинвазивность и большой процент благоприятного исхода, связанного с очисткой верхних мочевыводящих путей от конкрементов.

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