Üriner sistem anomalisi tespit edilen çocukların klinik ve demografik özellikleri

Year 2019, , 197 - 201, 29.08.2019

Fatma Yazılıtaş , Sare Gülfem Özlü , Fatma Zehra Öztek Çelebi , Evrim Kargın Çakıcı , Hasibe Gökçe Çınar Ayşe Seçil Ekşioğlu , Nedim Cüneyt Murat Gülaldı Mehmet Bülbül

https://doi.org/10.35440/hutfd.515844

Abstract

Amaç: Bu çalışmada üriner sistem ultrasonografisi ile saptanan
böbrek anomalisi bulunan çocukların klinik ve demografik özelliklerinin
değerlendirilmesi amaçlanmıştır.

Materyal ve
Metot: Hastanemizde ultrasonografi ile üriner
sistem anomalisi saptanan ve bir yıllık izleminde ileri incelemeler yapılmış
olan çocukların tıbbi kayıtları retrospektif olarak incelendi.

Bulgular: Çalışmaya yaşları 0-17 yaş arasında, 179’u (%55.1) erkek
toplam 325 hasta alındı. En sık gözlenen üriner sistem anomalisi 103 (%31.7)
hastada saptanan üretero-pelvik darlık idi. Diğer tespit edilen anomaliler
hastaların 82’sinde (%25.2) vezikoüreteral reflü, 33’ünde (%10.2) renal
hipoplazi, 30’unda (%9.2) çift toplayıcı sistem, 18’inde (%5.5) posterior üretral
valv, 14’ünde (%4.3) üretero-vezikal darlık, 13’ünde (%4.0) renal agenezi,
13’ünde (%4.0) ektopik böbrek, 11’inde (%3.4) at nalı böbrek ve 8’inde (%2.5)
multikistik displastik böbrek olarak belirlendi. Beş hastada böbrek yetmezliği
ve 10 hastada hipertansiyon mevcuttu.

Sonuç: Üriner sistem anomalisi saptanan çocukların gelişebilecek
komplikasyonların belirlenmesi, renal hasarın saptanması ve eşlik eden ek
anormalliklerin değerlendirilmesi açısından yakından izlemleri gerekmektedir. 

Keywords

Çocuk, Üriner sistem anomalisi, Renal hasar, Vezikoüreteral reflü

Clinical and demographic characteristics of children with urinary tract anomaly detected

Abstract

Background:
The aim of this study was to evaluate the clinical and demographic
characteristics of children with renal anomaly detected by urinary system
ultrasonography.

Methods: The medical
records of children with urinary system anomalies detected by ultrasonography
in our hospital and who underwent further investigations in one year follow-up
were examined retrospectively.

Results: A total of 325
patients were included in the study, the ages of between 0-17 years, 179
(55.1%) of them males. The most common urinary system anomaly was
uretero-pelvic junction obstruction in 103 (31.7%) patients. Other detected
anomalies were vesicoureteral reflux in 82 (25.2%) patients, renal hypoplasia
in 33 (10.2%), double collecting system in 30 (9.2%), posterior urethral valve
in 18 (5.5%), in 14 ( 4.3%) uretero-vesical junction obstruction, 13 (4.0%)
renal agenesis, 13 (4.0%) ectopic kidney, 11 (3.4%) horseshoe kidney, and 8
(2.5%) as multicystic dysplastic kidney determined. Five patients had renal
failure and 10 patients had hypertension.

Conclusion:
It is necessary to follow up closely to determine the complications that may
occur in children with urinary tract anomalies, to detect renal damage and to
evaluate the additional abnormalities.

 

Keywords:
Child, Urinary tract anomaly, Renal damage, Vesicoureteral reflux.

Keywords

Child, Urinary tract anomaly, Renal damage, Vesicoureteral reflux

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