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相關文獻
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頁籤選單縮合
題 名 | Primary Vesicoureteral Reflux in Children with Hydronephrosis=孩童水腎與原發性膀胱輸尿管回流相關性之探討 |
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作 者 | 李妮鍾; 林清淵; 李昱聲; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 15:3 2001.09[民90.09] |
頁 次 | 頁101-104+129 |
分類號 | 417.575 |
關鍵詞 | 膀胱輸尿管回流; 水腎; 腎臟結痂; Vesicoureteral reflux; Hydronephrosis; Renal scars; |
語 文 | 英文(English) |
中文摘要 | 膀胱輸尿管回流(VUR)是造原水腎的重要原因,也有可能造成小孩腎臟功能不良,早期發現膀胱輸尿管回流有其必要性。為了瞭解腎臟超音波水腎程度與膀胱輸尿管回流嚴重度的關係我們分析了91位VUR的病人。這些病人來源為1988年一月至1997年十二月間共有755病人在腎臟超音波檢查發現有水腎,其中有107個病人因接受排洩性膀胱造影檢查(VCUG)而發現存有膀胱輸尿管回流。扣除合併其他先天性泌尿結構異常的16人,總共91人為原發性而被進入分析。這91人男生62人,女生29人,年紀介於新生兒至十四歲間。182個腎臟中,109個為輕度水腎、17個為中度水腎、4個為嚴重水腎,另外52個腎臟則無水腎。膀胱輸尿管回流程度與超音波水腎的嚴重度是具有統計學上的差異(P=0.01)。利用VCUG診斷VUR的敏感性(sensitivity)及特異性(specificity)分別為86.71%。但是VUR程度與核醫造影(DMSA)腎臟是否受損在統計學上並沒有差異(P=0.030)。有兩位病人在診斷當時即需要透析治療。總共69位病人接受手術,兩位病人手術後追蹤仍出現腎功能不良的現象。亦即總共四位病人(4.4%)長期追蹤後進入末期腎病。總結,超音波檢查乃篩檢水腎方便的工具,水腎嚴重度與膀胱輸尿管回流的程度具統計學上之相關性,因此水腎的病人宜安排VCUG檢查。 |
英文摘要 | Hydronephrosis is the most common detected congenital urinary tract anomaly in antenatal ultrasound. It accounts for about 20-50% in genitourinary anomaly. Vesicoureteral reflux (VUR) is the most important secondary cause of hydronephrosis and may cause end stage renal disease (ESRD) in childhood. In an attempt to understand the relationship between hydronephrosis and VUR, and also to investigate the correlation between VUR grading and sonographic findings, we retrospectively evaluated VUR patients with hydronephrosis and followed up their clinical outcome. From January 1988 to December 1997, 755 pediatric patients noted to have hydronephrosis at Taipei Veterans General Hospital were enrolled. Of them, 107 patients were found with VUR. There were 91 patients who belonged to primary VUR. A total 62 males and 29 famales aging from newborn to 14 years old were included. Of 182 analyzed kidneys. 109 mild, 17 moderate, and 4 severe hydronephrosis, and other 52 kidneys did not have hydronephrosis. The relationship of VUR grading and hydronephrosis severity had significant difference (P=0.01). However, there was no significant difference between VUR grading and scars on DMSA in our stidies. In conclusion, ultrasonography is a useful non-invasive screening tool for suspected VUR. Early detection of VUR is important to avoid further renal damage. |
本系統中英文摘要資訊取自各篇刊載內容。