urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2025-13-4-107-124urovest-1104Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESКлинические рекомендации по лечению детей с мочекаменной болезнью, разработанные Международным альянсом мочекаменной болезниInternational Alliance of Urolithiasis (IAU) guidelines on the management of pediatric urolithiasishttps://orcid.org/0000-0002-6387-8633ЦзенГ.ZengG.

Гуохуа Цзэн – доктор медицины, профессор; Кафедра урологии и Гуандунская ключевая лаборатория урологии

Гуанчжоу

Guohua Zeng – M.D., Prof.; Department of Urology and Guangdong Key Laboratory of Urology

Guangzhou

gzgyzgh@vip.sina.comЧжуВ.ZhuW.

Вэй Чжу – доктор медицины, доктор философии; Кафедра урологии и Гуандунская ключевая лаборатория урологии

Гуанчжоу

Wei Zhu – M.D., Ph.D.; Department of Urology and Guangdong Key Laboratory of Urology

Guangzhou

doczw1989@126.comhttps://orcid.org/0000-0002-6248-6478СоманиБ.SomaniB.

Бхаскар Сомани – доктор медицины; Кафедра урологии

Великобритания

 Bhaskar Somani – М.D.; Department of Urology

Southampton

bhaskarsomani@yahoo.comЧунгС.ChoongS.

Саймон Чунг – бакалавр медицины

Великобритания

Simon Choong – MB

London

simon.choong1@nhs.netШтраубМ.StraubM.

Майкл Штрауб – доктор медицины, профессор; Кафедра урологии

Германия

Michael Straub – M.D., Prof.; Department of Urology

Munich

michael.straub@lrz.tum.deМарокколоМ. В.MaroccoloM. V.

Маркус Винисиус Марокколо – доктор медицины, магистр и доктор философии, профессор медицины

Бразилия

Marcus Vinicius Maroccolo – M.D., M.Sc., Ph.D., Prof.(Med)

Brasília

https://orcid.org/0000-0002-8232-3609КамальВ.KamalW.

Виссам Камаль – доктор медицины; Кафедра урологии

Джидда

Wissam Kamal – M.D.; Department of Urology

Jeddah

dr.wissamkamal@gmail.comhttps://orcid.org/0000-0003-1064-6561ИбрагимТ. А. А.IbrahimT. A. A.

Тарек Ахмед Амин Ибрагим – доцент; Кафедра урологии

Доха

Tarek Ahmed Amin Ibrahim – Assoc.Prof.; Department of Urology

Doha

ЧоА.ChoA.

Александр Чо 

Лондон

Alexander Cho

London

https://orcid.org/0000-0002-7890-2018МаццонДж.MazzonG.

Джорджио Маццон – доктор медицины

Лондон

Giorgio Mazzon – M.D.

London

g.mazzon@uroblog.ithttps://orcid.org/0000-0001-8915-3617ЧайЧ. Э.ChaiC. A.

Чу Энн Чай – доктор медицины, магистр хирургии; Кафедра хирургии, отделение урологии

Куала-Лумпур

Chu Ann Chai – MD, MCh Department of Surgery Urology Unit

Kuala Lumpur

chaichuann@yahoo.comhttps://orcid.org/0000-0002-2292-5632ФерреттиС.FerrettiS.

Стефания Ферретти – Кафедра урологии

Модена

Stefania Ferretti – Department of Urology

Modena

ferretti.stefania@aou.mo.ithttps://orcid.org/0000-0002-7568-3112ЧжунВ.ZhongW.

Вэнь Чжун – доктор медицины; Кафедра урологии и Гуандунская ключевая лаборатория урологии

Гуанчжоу

Wen Zhong – M.D.; Department of Urology and Guangdong Key Laboratory of Urology

Guangzhou

gzgyzhongwen@163.comhttps://orcid.org/0000-0003-0540-2693ОналБ.OnalB.

Бюлент Онал – доктор медицины, профессор; Кафедра урологии

Турция

Bulent Onal – M.D., Prof.; Department of Urology

Istanbul

drbulentonal@gmail.comМохамедО.MohamedO.

Омар Мохамед – бакалавр медицины и хирургии; Кафедра урологии

Менуфия

Omar Mohamed – MBBS; Department of Urology, Faculty of Medicine

Menoufia

kimo_81eg@yahoo.comСаулатШ.SaulatSh.

Шерджил Саулат – бакалавр медицины и хирургии, профессор; Кафедра урологии

Карачи

 

Sherjeel Saulat – MBBS, Prof.; Department of Urology

Karachi

shrjeels@hotmail.comhttps://orcid.org/0000-0001-5112-3316ЮркевичБ.JurkiewiczB.

Беата Юркевич – доктор медицины, доктор философии; Отделение детской хирургии

Варшава

Beata Jurkiewicz – M.D., Ph.D.

Warsaw

https://orcid.org/0000-0003-2904-2610СезерА.SezerA.

Али Сезер – доктор медицины

Конья

 

Ali Sezer – M.D.

Konya

alisezer21@gmail.comЛюЯ.LiuY.

Ян Лю – доктор философии, доцент-исследователь; Кафедра урологии и Гуандунская ключевая лаборатория урологии

Гуанчжоу

Yang Liu – Ph.D., Research Assoc.Prof.

Guangzhou, Guangdong

Yan.Liu@nyulangone.orgЦзэнТ.ZengT.

Тао Цзэн – Кафедра урологии и Гуандунская ключевая лаборатория урологии

Гуанчжоу

Tao Zeng – Department of Urology and Guangdong Key Laboratory of Urology

Guangzhou, Guangdong

Taozeng40709@sina.comhttps://orcid.org/0000-0002-6296-7773ВанВ.WangW.

Вэй Ван – доктор философии; Кафедра урологии

Шанхай

Wei Wang – Ph.D.; Department of Urology

Shanghai

ericwang79@126.comГаухарВ.GauharV.

Винит Гаухар – магистр хирургии (урология); Кафедра урологии

Сингапур

Vineet Gauhar – MCh (Urology); Department of Urology

Singapore

vineetgaauhaar@gmail.comhttps://orcid.org/0000-0001-7546-7228ЭлдервиА. А.ElderwyA. A.

Ахмад Абдельазиз Эльдерви – профессор

Асьют

Ahmad Abdelaziz Elderwy – Prof.

Asyut

ahmad.elderwy@gmail.comhttps://orcid.org/0000-0002-1450-0140ЗаидиЗ.ZaidiZ.

Зафар Заиди – доктор медицины, профессор

Карачи

 

Zafar Zaidi – M.D., Prof.

Karachi

zafar.zaidi@gmail.comhttps://orcid.org/0000-0001-8786-3295ДувдеваниМ.DuvdevaniM.

Мордехай Дувдевани – доктор медицины

Иерусалим

Mordechai Duvdevani – M.D.

Jerusalem

moti_duv@yahoo.comhttps://orcid.org/0000-0003-3447-8400Бин ХамриС.Bin HamriS.

Саид Бин Хамри

Эр-Рияд

Saeed Bin Hamri

Riyadh

sbinhamri@gmail.comhttps://orcid.org/0000-0003-2776-9760КумарН.KumarN.

Нитеш Кумар – бакалавр медицины и хирургии, магистр хирургии (общая хирургия), магистр хирургии (урология)

Патна

Nitesh Kumar – MBBS, MCh (General Surgery), MCh (Urology)

Patna

Карталас-ГумасЛ.Kartalas-GoumasL.

Иоаннис Карталас-Гумас – доктор медицины; Кафедра урологии

Виджевано

Loannis Kartalas-Goumas – M.D.; Department of Urology

Vigevano

ikgoumas@gmail.comhttps://orcid.org/0000-0002-6255-0193ГаджиевН. К.GadzhievN. K.

Нариман Казиханович Гаджиев – д-р мед. наук

Санкт-Петербург

Nariman K. Gadzhiev – Dr.Sc.(Med.)

St. Petersburg

nariman.gadjiev@gmail.comhttps://orcid.org/0000-0001-6468-5983ШирановК. А.ShiranovK. A.

Кирилл Александрович Ширанов – канд. мед. наук 

Ростов-на-Дону

Kirill A. Shiranov – Cand.Sc.(Med)

Rostov-on-Don

urologgg@mail.ruhttps://orcid.org/0000-0002-5714-2697КрафтК.KraftK.

Кейт Крафт – доктор медицины, магистр медицинского образования; Кафедра урологии

Kate Kraft – M.D., MHPE; Department of Urology

Ann Arbor, MI

kraftk@med.umich.eduhttps://orcid.org/0000-0002-2510-6093СепульведаФ.SepulvedaF.

Фабио Сепульведа – Кафедра урологии

Салвадор

Fabio Sepulveda– Department of Urology

Salvador, Bahia

agendamento@drfabiosepulveda.com.brhttps://orcid.org/0000-0002-0579-8723ХалинскиА.HalinskiA.

Адам Халински – доктор медицины, доктор философии, член Европейского совета урологии (FEBU); Кафедра детской урологии

Зелена-Гура

Adam Halinski – M.D., Ph.D., FEBU; Department of Paediatric Urology

Zielona Gora

adamhalinski@gmail.comМариеттиС.MariettiS.

Сара Мариетти – доктор медицины

Сан-Диего

Sarah Marietti – M.D.

San Diego

smarietti@rchsd.orgАль-АназиН. А. С.Al-AnaziN. A. S.

Насер Аль Судан Аль-Анази – доктор медицины

Эль-Кувейт

Naser Al Soudan Al-Anazi – M.D.

Kuwait City

https://orcid.org/0000-0001-9708-4455СантосЛ. С.SantosL. S.

Луис Сержио Сантос – Кафедра урологии

Куритиба

Luiz Sergio Santos – Department of Urology

Curitiba, Paraná

lss@mps.com.brhttps://orcid.org/0000-0002-2930-6404ВаддиЧ. М.VaddiCh. M.

Чандра Мохан Вадди – бакалавр медицины и хирургии, магистр хирургии (общая хирургия), магистр хирургии (урология)

Хайдарабад

Chandra Mohan Vaddi – MBBS, MСh (General Surgery), MCh (Urology)

Hyderabad

vcmohan2001@yahoo.co.ukhttps://orcid.org/0009-0009-6777-9489ЦзяЦзяньеJiaJ.

Цзянье Цзя – доктор философии; Кафедра урологии

Пекин

Jianye Jia – Ph.D.; Department of Urology

Beijing

ЛиЦ.LiJ.

Цзюнь Ли – доктор медицины; Кафедра урологии

Пекин

Jun Li – M.D.; Department of Urology

Beijing

https://orcid.org/0009-0008-8998-3475КуангС.KuangX.

Сяогэнь Куан – доктор медицины; Кафедра урологии

Хэнъян

Xiaogen Kuang – M.D.; Department of Urology

Hengyang, Hunan

https://orcid.org/0000-0002-7390-214XЙеЧ.YeZh.

Чжанцюнь Йе – доктор медицины, доктор философии, профессор; Кафедра урологии

Ухань

Zhangqun Ye – M.D., Ph.D., Prof.; Department of Urology

Wuhan

zhangqun_ye@163.comhttps://orcid.org/0000-0001-7277-3764СарикаК.SaricaK.

Кемаль Сарика – доктор медицины, доктор философии, профессор; Кафедра урологии

Стамбул

Kemal Sarika – M.D., Ph.D.; Prof.; Department of Urology

Istanbul

saricakemal@gmail.comПервая аффилированная больница Медицинского университета ГуанчжоуКитайThe First Affiliated Hospital of Guangzhou Medical UniversityChinaПервая аффилированная больница Медицинского университета ГуанчжоуКитайThe First Affiliated Hospital of Guangzhou Medical UniversityChinaУниверситетская больница Саутгемптона, Национальная служба здравоохраненияВеликобританияUniversity Hospital Southampton NHS TrustUnited KingdomИнститут урологии, Университетская клиника ЛондонаВеликобританияInstitute of Urology, University College Hospitals of LondonUnited KingdomТехнический университет МюнхенаГерманияTechnical University MunichGermanyБольница де Базе Федерального округаБразилияHospital de Base of the Federal DistrictBrazilБольница короля ФахдаСаудовская АравияKing Fahd HospitalSaudi ArabiaМедицинская корпорация ХамадКатарHamad Medical CorporationQatarБольница Грейт Ормонд Стрит, Национальная служба здравоохраненияВеликобританияGreat Ormond Street Hospital NHS Foundation TrustUnited KingdomУниверситет МалайяМалайзияUniversity MalayaMalaysiaУниверситетская больница МоденыИталияAzienda Ospedaliero-Universitaria of ModenaItalyМедицинский факультет Джеррахпаша, Стамбульский университет – ДжеррахпашаТурцияCerrahpasa School of Medicine, Istanbul University-CerrahpasaTurkeyМедицинский факультет Университета МенуфияЕгипетMenoufia UniversityEgyptИнститут почек ТаббаПакистанTabba Kidney InstitutePakistanВаршавская детская больницаПольшаPaediatric Surgery Department, Warsaw Hospital for ChildrenPolandКлиника детской урологии, Городская больница КоньиТурцияPediatric Urology Clinic, Konya City HospitalTurkeyШанхайский центр общественного здравоохранения, Центр GRADE, Университет ФуданьКитайShanghai Public Health Clinical Center, Center of GRADE, Fudan UniversityChinaГоспиталь Нг Тенг Фонг, Национальная система здравоохраненияСингапурNg Teng Fong General Hospital, The National University Health SystemSingaporeУрологическая и нефрологическая больница Асьюта, Медицинский факультет Университета АсьютаЕгипетAssiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut UniversityEgyptМедицинская и больничная сеть ИндусПакистанThe Indus Hospital and Health NetworkPakistanМедицинский центр Еврейского университета ХадассаИзраильHadassah Hebrew University Medical CenterIsraelОтделение урологии, Министерство здравоохранения Национальной гвардии, Университет короля Сауда бин Абдулазиза, Международный медицинский исследовательский центр короля АбдаллыСаудовская АравияDivision of Urology, Department of Surgery, Ministry of the National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research CenterSaudi ArabiaГоспиталь и исследовательский центр ФордИндияFord Hospital and Research CentreIndiaКлиника Беато МаттеоИталияIstituto Clinico Beato MatteoItalyКлиника высоких медицинских технологий им. Н. И. Пирогова – Санкт-Петербургский государственный университетРоссияPirogov Clinic of Advanced Medical Technologies (SPSU Hospital) — St. Petersburg State UniversityRussian FederationКлинико-диагностический центр «Здоровье»Россия«Zdorovie» Clinical and Diagnostics CentreRussian FederationМичиганский университетСоединённые Штаты АмерикиUniversity of MichiganUnited StatesФедеральный университет Баии, Женская больница штата БаияБразилияFederal University of Bahia, State Women’s Hospital of BahiaBrazilКлиника «Вишневая»ПольшаPMC «Wisniowa Clinic»PolandКалифорнийский университет в Сан-ДиегоСоединённые Штаты АмерикиUniversity of California – San DiegoUnited StatesУрологическое отделение, Больница Аль-Амири и Урологический центр Сабах Аль-АхмадКувейтUrology Unit, Al-Amiri Hospital & Sabah Al-Ahmad Urology CentreKuwaitФедеральный университет ПараныБразилияFederal University of ParanaBrazilУрологическая и нефрологическая клиника ПретиИндияPreeti Urology and Kidney HospitalIndiaМеждународная больница Пекинского университетаКитайPeking University International HospitalChinaГоспиталь Дружбы Пекина, Медицинский университет столицыКитайBeijing Friendship Hospital, Capital Medical UniversityChinaПервая аффилированная больница Медицинской школы Хэньяна, Университет Южного КитаяКитайThe First Affiliated Hospital, Hengyang Medical School, University of South ChinaChinaГоспиталь Тунцзи, Медицинский колледж Тунцзи, Университет науки и технологий ХуажунКитайTongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyChinaНаучно-исследовательская и учебная больница проф. Илхана Варанка; Медицинский факультет Университета БируниТурцияIlhan Varank Research and Training Hospital; Medical School, Biruni UniversityTurkey202515112025134107124Copyright © Цзен Г., Чжу В., Сомани Б., Чунг С., Штрауб М., Марокколо М.В., Камаль В., Ибрагим Т., Чо А., Маццон Д., Чай Ч.Э., Ферретти С., Чжун В., Онал Б., Мохамед О., Саулат Ш., Юркевич Б., Сезер А., Лю Я., Цзэн Т., Ван В., Гаухар В., Элдерви А.А., Заиди З., Дувдевани М., Бин Хамри С., Кумар Н., Карталас-Гумас Л., Гаджиев Н.К., Ширанов К.А., Крафт К., Сепульведа Ф., Халински А., Мариетти С., Аль-Анази Н., Сантос Л.С., Вадди Ч.М., Цзя Ц., Ли Ц., Куанг С., Йе Ч., Сарика К., 20252025Цзен Г., Чжу В., Сомани Б., Чунг С., Штрауб М., Марокколо М.В., Камаль В., Ибрагим Т., Чо А., Маццон Д., Чай Ч.Э., Ферретти С., Чжун В., Онал Б., Мохамед О., Саулат Ш., Юркевич Б., Сезер А., Лю Я., Цзэн Т., Ван В., Гаухар В., Элдерви А.А., Заиди З., Дувдевани М., Бин Хамри С., Кумар Н., Карталас-Гумас Л., Гаджиев Н.К., Ширанов К.А., Крафт К., Сепульведа Ф., Халински А., Мариетти С., Аль-Анази Н., Сантос Л.С., Вадди Ч.М., Цзя Ц., Ли Ц., Куанг С., Йе Ч., Сарика К.Zeng G., Zhu W., Somani B., Choong S., Straub M., Maroccolo M.V., Kamal W., Ibrahim T., Cho A., Mazzon G., Chai C.A., Ferretti S., Zhong W., Onal B., Mohamed O., Saulat S., Jurkiewicz B., Sezer A., Liu Y., Zeng T., Wang W., Gauhar V., Elderwy A.A., Zaidi Z., Duvdevani M., Bin Hamri S., Kumar N., Kartalas-Goumas L., Gadzhiev N.K., Shiranov K.A., Kraft K., Sepulveda F., Halinski A., Marietti S., Al-Anazi N., Santos L.S., Vaddi C.M., Jia J., Li J., Kuang X., Ye Z., Sarica K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/1104

Целью данного исследования являлась разработка шестых рекомендаций из серии Международного альянса по мочекаменной болезни (International Alliance of Urolithiasis, IAU), посвящённых лечению детей с мочекаменной болезнью (МКБ) на основании данных наивысшего уровня доказательности. Все рекомендации были сформулированы на основе систематического обзора и анализа литературы, опубликованной в базе данных PubMed за период с января 1952 года по декабрь 2023 года. Оценка силы рекомендаций проводилась с использованием модифицированной методологии GRADE. Каждая рекомендация утверждалась членами рабочей группы IAU после анализа и обсуждения представленных доказательств. В результате разработаны рекомендации по следующим ключевым аспектам: этиология, факторы риска, клинические проявления и симптомы, диагностика, консервативное лечение, хирургические вмешательства, профилактика и наблюдение. Отмечается определённое сходство в подходах к лечению первичного эпизода МКБ у взрослых и детей, включая как стратегию консервативной терапии, так и внедрение современных малоинвазивных технологий для удаления камней. Кроме того, профилактические стратегии, направленные на снижение риска рецидива, такие как адекватное потребление жидкости, сбалансированное питание и индивидуализированная лекарственная терапия, имеют высокую эффективность у детей с МКБ. В зависимости от выраженности метаболических нарушений и наличия анатомических аномалий каждому пациенту должна быть назначена индивидуализированная программа наблюдения, направленная на минимизацию риска повторного образования конкрементов.

The aim of this study was to develop the sixth set of guidelines in a series produced by the International Alliance of Urolithiasis (IAU), providing a clinical framework for the management of paediatric patients with urolithiasis based on the best available published evidence. All recommendations were synthesised following a systematic review and critical appraisal of the literature indexed in the PubMed database from January 1952 to December 2023. Each recommendation was graded according to a modified GRADE methodology. The guidelines were ratified by Panel Members after thorough review and discussion of the evidence. The recommendations address key topics including aetiology, risk factors, clinical presentation and symptoms, diagnosis, conservative management, surgicalinterventions, prevention, and follow-up. Notable parallels exist in the management of primary stone episodes between paediatric and adult patients, particularly regarding conservative treatment approaches and technological advancements facilitating less invasive stone removal. Additionally, preventive strategies aimed at reducing recurrence – such as adequate hydration, well-structured dietary modifications, and the selective use of pharmacological therapies – are anticipated to yield favourable outcomes in paediatric stone formers. Given the variability in the severity of metabolic abnormalities and anatomical anomalies, a meticulously planned, close follow-up programme is essential for each paediatric patient to mitigate the risk of future recurrences.

международный альянс мочекаменной болезнимочекаменная болезньдетипрофилактиканаблюденииIAUurolithiasispediatricspreventionfollow-upРабота финансировалась грантами «Plan on Enhancing Scientific Research» Медицинского университета Гуанчжоу [№ GMUCR2024-01006]. Спонсоры не принимали непосредственного участия в проведении исследования. Благодарности. Авторы выражают искреннюю признательность профессору Цзену Г. (Prof. G. Zeng) за предоставленное разрешение на перевод (русский язык) клинических рекомендаций Международного альянса мочекаменной болезни (International Alliance of Urolithiasis, IAU) по лечению детей с мочекаменной болезнью. Авторы также выражают благодарность Гаджиеву Н.К. и Ширанову К.А. за помощь с адаптацией русскоязычной версии рекомендаций.This work was financed by grants from «Plan on Enhancing Scientific Research» in Guangzhou Medical University [Grant № GMUCR2024-01006]. The authors express their sincere gratitude to Prof. G. 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The authors declare that there are no conflicts of interest present.