先天性肾尿路异常伴隐睾的临床特点

Q4 Medicine
Dapeng Jiang, Zhengzhou Shi, F. Tian, Haiteng Zhao
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引用次数: 0

摘要

目的探讨儿童隐睾合并先天性肾尿路异常(CAKUT)的患病率及临床特点。方法选取2017年1月~ 2018年8月收治的CAKUT隐睾患儿21例。收集完整的临床和影像学资料,总结临床症状和影像学异常。结果泌尿生殖系统异常26例。CAKUT的主要疾病包括肾积水、肾发育不全和双重收集系统。CAKUT与胎次或父亲年龄之间不存在关联。然而,CAKUT的发病率与隐睾类型相关。单侧睾丸发育不全和腹膜内睾丸的儿童比其他类型的隐睾更容易并发CAKUT。结论尿路超声检查是小儿隐睾的常规检查方法。CAKUT在单侧睾丸发育不全和腹膜内睾丸的儿童中发病率较高。应提高临床警惕,并进行必要的影像学检查。早期诊断,避免误诊,合理治疗是必要的。关键词:隐睾;肾脏和泌尿道的先天性异常;发病率
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical characteristics of congenital anomalies of kidney and urinary tract with cryptorchidism
Objective To explore the prevalence and clinical characteristics of congenital anomalies of kidney and urinary tract (CAKUT) with cryptorchidism in children. Methods A total of 21 children of CAKUT with cryptorchidism were recruited from January 2017 to August 2018.Their complete clinical and imaging data were collected and clinical symptoms and imaging abnormalities were summarized. Results The total number of genitourinary abnormalities was 26.The major CAKUT diseases included hydronephrosis, renal hypoplasia and duplex collecting system.No association existed between CAKUT and parity or paternal age.However, the incidence of CAKUT was correlated with type of cryptorchidism.Children with unilateral testicular agenesis and intraperitoneal testis were more susceptible to concurrent CAKUT than other types of cryptorchidism. Conclusions Urinary tract ultrasonography is routinely recommended for children with cryptorchidism.The incidence of CAKUT is higher in children with unilateral testicular agenesis and intraperitoneal testis.Clinical alert should be raised and necessary imaging examinations conducted.It is necessary to diagnose this disorder early, avoid a misdiagnosis and made treatment properly. Key words: Cryptorchidism; Congenital anomalies of the kidney and urinary tract; Incidence
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来源期刊
中华小儿外科杂志
中华小儿外科杂志 Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.40
自引率
0.00%
发文量
8707
期刊介绍: Chinese Journal of Pediatric Surgery is an academic journal sponsored by the Chinese Medical Association. It mainly publishes original research papers, reviews and comments in this field. The journal was founded in 1980 and is included in well-known databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences) and CSCD Chinese Science Citation Database Source Journal (including extended version). It is one of the national key academic journals under the supervision of the China Association for Science and Technology. Chinese Journal of Pediatric Surgery enjoys a high reputation and influence in the academic community. The articles published in this journal have a high academic level and practical value, providing readers with a large number of practical cases and industry information, and have received widespread attention and citations from readers.
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