Cemerlic-Zecevic E, Milicic-Pokrajac D
Pedijatrijska klinika, Klinicki centar Univerziteta u Sarajevu.
Med Arh. 2001;55(4):251-3.
Early diagnosis and identification of adequate treatment of children with hydronephrosis.
Routine ultrasound testing was followed by standard urography and micturacion cystouretrogam among those identified with hydronephrosis.
We showed 48 children among whom the ultrasound detected hydronephrosis of various degrees. First group consists of patients with non-obstructive hydronephrosis 18 patients (37.5%); the highest percentage among girls (88.3%), ages 1-5. The cause of hydronephrosis is the vesicoureteral reflux. The second group with obstructive hydronephrosis consists of 30 patients (62.5%), only one of them had obstruction ureterovesical junction. Neonatal boys dominate in this group. 50% of patients from both groups were surgically treated.
Wide use of ultrasound provided for a significant improvement in diagnosis of urinary-tract anomalies.
早期诊断并确定对肾积水患儿的适当治疗方法。
对经超声检查确诊为肾积水的患儿，在进行常规超声检查后，再进行标准尿路造影和排尿性膀胱尿道造影。
我们共检查了48例患儿，超声检查发现他们存在不同程度的肾积水。第一组为非梗阻性肾积水患者，共18例（37.5%）；女孩占比最高（88.3%），年龄在1至5岁之间。肾积水的病因是膀胱输尿管反流。第二组为梗阻性肾积水患者，共30例（62.5%），其中只有1例存在输尿管膀胱连接部梗阻。该组以新生儿男孩为主。两组中各有50%的患者接受了手术治疗。
超声的广泛应用显著提高了尿路异常的诊断水平。
