Sieniawska M, Roszkowska-Blaim M, Welc-Dobies J
Department of Pediatrics and Nephrology, Medical Academy, Warsaw, Poland.
Child Nephrol Urol. 1991;11(1):20-4.
The frequency of acquired cystic kidney disease (ACKD) in adult patients with end-stage renal failure (ESRF) varies from 8 to 95%. Systematic data are available neither on children with chronic renal insufficiency (CRI) nor on the frequency of ACKD in children below 15 years undergoing dialysis. Twenty-one children with CRI and 28 patients with ESRF were investigated. The age of the children ranged from 1 month to 15.8 years. Ultrasonographic examination determined the incidence of ACKD; in some children computerized tomography was performed. ACKD was diagnosed in 2 children (9.8%) with CRI and in 6 (21.6%) with ESRF. Diagnostic criteria and evolution of ACKD within the observation period of 3-48 months (mean 23.4 +/- 12.6 months) are discussed.
成年终末期肾衰竭(ESRF)患者获得性囊性肾病(ACKD)的发生率在8%至95%之间。目前尚无关于慢性肾功能不全(CRI)儿童以及15岁以下接受透析儿童的ACKD发生率的系统性数据。对21例CRI儿童和28例ESRF患者进行了研究。儿童年龄范围为1个月至15.8岁。通过超声检查确定ACKD的发生率;部分儿童进行了计算机断层扫描。在2例(9.8%)CRI儿童和6例(21.6%)ESRF患者中诊断出ACKD。讨论了在3至48个月(平均23.4 +/- 12.6个月)观察期内ACKD的诊断标准及病情演变。