| A Clinical Study of Congenital Urinary Tract Anomalies in Children |
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Mi-Young Han3, Seong-Ho Cha3, Byong-Soo Cho3, Jin-Il Kim2, Yung-Tae Ko1 |
1Department of Diagnostic Radiology, College of Medicine, Kyung Hee University, Seoul, Korea
2Department of Urology, College of Medicine, Kyung Hee University, Seoul, Korea
3Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea |
| 소아 선천성 요로계 기형에 관한 임상적 고찰 |
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한미영3, 차성호3, 조병수3, 김진일2, 고영태1 |
1경희대학교 의과대학 진단방사선과학교실
2경희대학교 의과대학 비뇨기과학교실
3경희대학교 의과대학 소아과학교실 |
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| Abstract |
Purpose
: A study was done to assess the incidence, clinical characteristics of
urinary tract anomalies for decreasing urinary tract morbidity.
Methods
: We review 98 cases of anomaly of urinary tract who were admitted
Kyung Hee University Hospital between 1986 and 1995. We analyzed incidence and
associated anomalies, associated diseases and treatment modalities.
Results
: 1) It was composed of 45 cases(45%) of renal anomalies, 37 cases(37.7%) of ureteral anomalies, 7 cases(7.1%) of urethral anomalies, 3 cases Prune-belly syndrome, 3 cases of urachal remnants, 2 cases of bladder exstrophy, 1 cases of VATER syndrome.
2) Anomalies of the kidney were composed of 14 cases of renal agenesis, 11 cases of
multicystic dysplastic kidney, 10 cases of hydronephrosis 3 cases of hypoplasia, 3 cases of polycystic kidney, 2 cases of ectopia, 1 case of malrotation and 1 case of horseshoe kidney, 20 cases(44.4%) were diagnosed before 1 month of life. 20 cases were male and 25 casses were female. Bilateral involvement were in 7 cases and 38 cases of unilateral involvement were composed of 23 cases of right side and 15 cases of left side. Operative treatment were performed in 15 cases(30%) of renalanomalies. The common chief complaint of renal anomalies were abnormal finding on urinalysis(24.4%), abnormal finding on fetal ultrasonogram(20%), gastrointestinal tract symptom(15.6%), and fever(9%).
3) Anomalies of the ureter were composed of 26 cases of ureteral duplication, 9 cases
of UPJ obstruction, 2 cases of megaureter. Ureteric duplications included 8 cases of male and 18 cases offemale and 19 cases were unilateraland 7 cases were bilateral.19
cases were diagnosed before 5 years old. 19 cases(73.1%) had symptoms associated with
urinary tractinfection.11 cases had abnormal finding of ipsilateral kidney on DMSA
scan or IVP. Associated abnormalities were hydronephrosis, ureterocele and VUR. UPJ
obstruction were mostly diagnosed before 1 month of life, 6 cases were male and 3
cases were female. 2 cases were bilateral and 3 cases were right side involvement and
4 cases were left side.
Conclusion
: It seems to be reasonable that we should recommend the patients with
the symptoms of urinary tract diseases to do evaluate the possibility of congenital
urinary tract anomalies. |
| Key Words:
Congenital Anomaly, Urinary Tract, Children |
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