多囊肾发育不良患者的预后:单中心经验

İsa Yilmaz, Harun Peru
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摘要

导言本研究旨在根据文献资料,评估本院儿科肾病门诊多囊性发育不良肾脏(MCDK)患者的人口统计学特征和随访结果。 材料和方法:回顾性分析2011年1月至2022年1月期间向塞尔丘克大学医学院小儿肾脏病诊所就诊的患者档案。记录了 22 名 MCDK 患者的数据。 结果显示12例(55%)患者为左侧MCDK,10例(45%)为右侧MCDK。三名患者出现了泌尿系统感染(UTI)。一名右侧 MCDK 患者伴有右输尿管瘘,5 名患者的对侧肾脏出现肾积水。其他患者未发现泌尿系统异常。患者未发现蛋白尿和高血压。接受排尿膀胱造影检查的 5 名患者未发现膀胱输尿管反流(VUR)。在对患者的随访中,MCDK 的平均随访时间为(16.2±29.3)个月(1-107)个月。 结论通过保守治疗,儿童多囊发育不良肾脏的预后良好。定期随访对于预防可能出现的高血压或高滤过损伤非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prognoses of Multicystic Dysplastic Kidney Patients: A Single Center Experience
Introduction: In this study, was aimed to evaluate the demographic characteristics and follow-up results of patients with multicystic dysplastic kidney (MCDK) in our pediatric nephrology clinic, in the light of the literature. Material and Methods: The files of the patients who applied to the Pediatric Nephrology Clinic of Selçuk University Faculty of Medicine between January 2011 and January 2022 were analyzed retrospectively. Data of 22 patients with MCDK were recorded. Results: Twelve (55%) of the patients were left-sided and 10 (45%) were right-sided MCDK. Urinary system infection (UTI) was seen in three patients. Right-sided MCDK was accompanied by right ureterocele in one patient and hydronephrosis in the contralateral kidney in 5 patients. No urinary anomaly was observed in other patients. Proteinuria and hypertension were not detected in the patients. Vesicoureteral reflux (VUR) was not detected in 5 patients who underwent voiding cystourography. In the follow-up of the patients, MCDK was involved in a mean of 16.2±29.3 (1-107) months. Conclusion: Multicystic dysplastic kidney in children has a good prognosis with conservative management. Periodic follow-up is important to prevent the potential development of hypertension or hyperfiltration injury.
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