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[主动脉瓣上狭窄综合征(威廉姆斯-贝伦综合征)与肾脏及传出尿路改变相关]

[Syndrome of supravalvular aortic stenosis (Williams-Beuren syndrome) in association with changes in the kidney and efferent urinary tract].

作者信息

Stoermer J, Olbing H, Hentrich F, Even K, Galal O, Bachmann J

出版信息

Monatsschr Kinderheilkd. 1984 Feb;132(2):110-2.

PMID:6727879
Abstract

We investigated the urinary tract in 19 out of 30 children having the Williams-Beuren-Syndrome. 14 of these children showed all signs of the syndrome, whereas 8 children had only the typical cardiological findings without the pathognomonic facies and without major mental retardation. These two different types will be designed as type I and type II respectively. In 12 of the children belonging to type I there were anomalies of the kidneys and the lower urinary tract including 1 child having nephrocalcinosis. The various anomalies were found as single or combined lesions. As for type II there was only 1 child (out of 5) that showed a stenosis of the urethra and at the origin of the ureter in combination with a hydronephrosis. The frequency of anomalies of the urinary tract appears to be very high in type I. However, because of the small number of patients it is impossible to reach statistical significance in comparing the different frequencies within type I and type II. Further investigations are necessary to clarify the problem.

摘要

我们对30名患有威廉姆斯-贝伦综合征的儿童中的19名进行了尿路检查。其中14名儿童表现出该综合征的所有症状,而8名儿童仅有典型的心脏病学表现,没有特征性面容且无严重智力发育迟缓。这两种不同类型将分别被设计为I型和II型。在属于I型的12名儿童中,存在肾脏和下尿路异常,其中1名儿童患有肾钙质沉着症。各种异常表现为单一或合并病变。至于II型,(5名儿童中)仅有1名儿童表现出尿道狭窄以及输尿管起始处合并肾积水。I型中尿路异常的发生率似乎非常高。然而,由于患者数量较少,在比较I型和II型内不同发生率时无法达到统计学意义。需要进一步研究来阐明这个问题。

相似文献

1
[Syndrome of supravalvular aortic stenosis (Williams-Beuren syndrome) in association with changes in the kidney and efferent urinary tract].[主动脉瓣上狭窄综合征(威廉姆斯-贝伦综合征)与肾脏及传出尿路改变相关]
Monatsschr Kinderheilkd. 1984 Feb;132(2):110-2.
2
[The spectrum of supravalvular aortic stenosis: clinical findings of 150 patients with Williams-Beuren syndrome and the isolated lesion (author's transl)].[主动脉瓣上狭窄的谱系:150例威廉姆斯-贝伦综合征及孤立性病变患者的临床发现(作者译)]
Z Kardiol. 1980 Feb;69(2):131-40.
3
Incidence and spectrum of renal abnormalities in Williams-Beuren syndrome.
Am J Med Genet. 1996 May 3;63(1):301-4. doi: 10.1002/(SICI)1096-8628(19960503)63:1<301::AID-AJMG49>3.0.CO;2-P.
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Renal findings in 40 individuals with Williams syndrome.40例威廉姆斯综合征患者的肾脏检查结果
Am J Med Genet. 1993 May 15;46(3):271-4. doi: 10.1002/ajmg.1320460306.
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[The Williams-Beuren syndrome: reconstruction of the thoracic aorta combining surgery and endovascular treatment].[威廉姆斯-贝伦综合征:胸主动脉重建的手术与血管内治疗联合应用]
Arch Mal Coeur Vaiss. 2007 May;100(5):466-9.
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[A successful surgical case of supravalvular aortic stenosis with Williams syndrome: the investigations of the procedures].[一例威廉姆斯综合征合并主动脉瓣上狭窄的成功手术病例:手术过程的探讨]
Kyobu Geka. 1994 Oct;47(11):929-33.
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[Williams-Beuren facies with mental retardation and tetralogy of Fallot].
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Renal and urinary findings in 20 patients with Williams-Beuren syndrome diagnosed by fluorescence in situ hybridization (FISH).通过荧光原位杂交(FISH)诊断的20例威廉姆斯综合征患者的肾脏和泌尿系统检查结果
Rev Hosp Clin Fac Med Sao Paulo. 2004 Oct;59(5):266-72. doi: 10.1590/s0041-87812004000500008. Epub 2004 Oct 29.
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[Williams-Beuren syndrome in Norway].[挪威的威廉斯-博伦综合征]
Tidsskr Nor Laegeforen. 1994 Jan 10;114(1):25-8.
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[William-Beuren syndrome: description of a case].[威廉姆斯-贝伦综合征:一例病例描述]
Pediatr Med Chir. 1991 Sep-Oct;13(5):519-22.

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