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Clinical Observation of urinary Tract Anomalies

Journal of the Korean Pediatric Society 1994;37(8):1092-1096.
Published online August 15, 1994.
Clinical Observation of urinary Tract Anomalies
In Hee Jung, Hong Jin Lee, Sang Joo Han, Won Il Park, Kyung Ja Lee
Department of Pediatrics, College of Medicine, Hallym University, Chuncheon, Korea
소아 요로계 기형에 대한 임상적 고찰
정인희, 이홍진, 한상주, 박원일, 이경자
한림대학교 의과대학 소아과학교실
Abstract
Urinary tract anomaly is the most common anomaly in childhood. We reviewed medical records of 45 patients who were confirmed urinary tract anomalies on radiologic studies as Chuncheon Sacred Hospital, from Dec. 1984 to Sep. 1992. We analyzed incidence and clinical characteristics of urinary tract anomalies. The results obtained were as follows: 1) The age distrtibution were: 17 cases (37.8%) under 3 years, 6 cases (13.3%) from 4 to 6 years, 10 cases (22.2%) from 7 to 9 cases (20.0%) from 10 to 12 years and 3 cases (6.7%) from 13 to 15 years. 2) main symptoms were fever, dysuria and hematuria. 3) 26 cases (59.8%) were combined with urinary tract infection, and main causative organism were E. coli and Staphylococcus. 4) The most common anomalies were hydronephrosis, duplication of urinary tract and renal agenesis in order of sequence. 5) 34 cases (75.6%) were simple anomaly and 11 cases (24.4%) were complex anomalies. 6) Operative correction was needed on 20 cases.
Key Words: Urinary tract anomaly, Urinary tract infection


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