The Natural Course in Children with Unilateral Multicystic Dysplastic Kidney / 대한비뇨기과학회지
Korean Journal of Urology
; : 914-919, 2005.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-55421
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Advances in modern ultrasonography combined with a dimercaptosuccinic acid (DMSA) renal scan have permitted the diagnosis of a multicystic dysplastic kidney (MCDK) with a high degree of certainty. Most multicystic dysplastic kidneys undergo spontaneous involution during follow-up, as demonstrated by serial ultrasonography. The purpose of this study was to contribute to a better understanding of the natural history of a MCDK, and suggest guidelines for follow-up of a MCDK. MATERIALS ANDMETHODS:
Between November 1988 and May 2004, 142 children with a MCDK were diagnosed at our institute. A retrospective data analysis was carried out on 38 patients who were conservatively managed and followed for more than 6 months. Follow up ultrasonography examinations were performed every 6 months until patients were 5 years old, and annually thereafter. Patients were divided into simple and complex MCDK based on postnatal physical examination and renal ultrasonography. A simple MCDK was defined as unilateral renal dysplasia without genitourinary abnormalities. Complex MCDK included patients with unilateral renal dysplasia, but with other genitourinary abnormalities.RESULTS:
The follow-up periods ranged from 6 to 76 months, with a median of 21.5 months. Partial and complete involution of the affected kidney was observed in 6 (15.8%) and 8 (21.1%) patients, respectively. There was no significant difference in the median involution time between the groups. The median time to involution in all patients was 36 months.CONCLUSIONS:
Conservative management for a MCDK appears to be a safe option. Because of a complex MCDK has a high incidence of UTI, prophylactic antibiotics may be required. We recommend the long-term follow-up of a MCDK using ultrasonography monitoring.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Exame Físico
/
Anormalidades Urogenitais
/
Incidência
/
Estudos Retrospectivos
/
Estatística como Assunto
/
Seguimentos
/
Ultrassonografia
/
Succímero
/
História Natural
/
Rim Displásico Multicístico
Tipo de estudo:
Estudo diagnóstico
/
Guia de prática clínica
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
Limite:
Criança
/
Criança, pré-escolar
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Urology
Ano de publicação:
2005
Tipo de documento:
Artigo