TY  - JOUR
T1  - The Evaluation of Postnatal Follow-up Results of the İnfants with Mild and Moderate İsolated Antenatal Hydronephrosis
TT  - Hafif ve Orta Dereceli İzole Antenatal Hidronefrozlu Süt Çocuklarının Postnatal İzlem Sonuçlarının Değerlendirilmesi
AU  - Çetin, Nuran
PY  - 2019
DA  - January
DO  - 10.20515/otd.425849
JF  - Osmangazi Tıp Dergisi
PB  - Eskişehir Osmangazi Üniversitesi
WT  - DergiPark
SN  - 1305-4953
SP  - 17
EP  - 22
VL  - 41
IS  - 1
LA  - en
AB  - Antenatalhydronephrosisisone of the most common congenital urological anomalies identified onprenatalultrasound. Thereare controversial results in thepostnatal management of mild-moderateisolated antenatal hydronephrosis. Thepurpose of this study was to investigate the clinical outcome and the frequencyof urinary tract infection in infants withmild-moderateisolated antenatal hydronephrosis during the first year of life.The patients with mild-moderate hydronephrosis on the first renalultrasonography done between seven days and two weeks of age were included inthis study. The patients with other kidney abnormalities other thanhydronephrosis, ureteral dilatation or bladder abnormalities were not includedin the study. Hydronephrosis was classified as mild (5-9.9 mm), moderate(10-14.9 mm) by anterior-posterior pelvic diameters. 140 patients [96 boys (68.6%), 44 girls(31.4%)] were included in the study. Sixty (42.9%) patients had mildhydronephrosis and 80 (57.1%) patients had moderate hydronephrosis. The rate ofspontan resolution was higher in patients with mild hydronephrosis than othergroup [n=58 (96.6%), n=48 (60%), respectively, p<0.01]. The medianregression time was shorter in patients with mild hydronephrosis [medianregression time; 4 (3-5.25); 6 (5-7) months, respectively, p<0.01]. The frequency of urinary tractinfection did not differ between the patients with mild and moderatehydronephrosis patients (p>0.05). There was no evidence of acutepyelonephritis and obstructive or progressive hydronephrosis. Mild and moderateisolated antenatal hydronephrosis is often a self-limited condition. Childrenwith mild and moderate isolated antenatal hydronephrosis might be followedwithout antibiotic prophylaxis.
KW  - Urinary tract infection
KW  - antibiotic prophylaxis
KW  - isolated antenatal hydronephrosis
N2  - Antenatal hidronefrozdoğum öncesi yapılan ultrasonografik incelemede en sık saptanan konjenitalürolojik anomalilerden biridir. Hafif ve orta dereceli izole antenatalhidronefrozun doğum sonrası dönemdeki yönetimi hakkında çelişkili sonuçlarbulunmaktadır. Bu çalışmanın amacı hafif ve orta dereceli izole antenatalhidronefrozlu süt çocuklarında ilk bir yılda idrar yolu enfeksiyonu (İYE)sıklığını ve klinik seyri araştırmaktır. Bu çalışmaya doğum sonrası 7 gün ile 2hafta arasında yapılan ilk böbrek ultrasonografisinde hafif ve orta derecelihidronefrozu olan hastalar dahil edildi. Hidronefroz dışında böbrek anomalisiolan, üreteral dilatasyonu ya da mesaneanomalisi bulunan hastalar çalışmaya dahil edilmedi. Hidronefroz ön-arka pelvisçapı ölçülerek hafif (5-9.9 mm) ve orta (10-14.9 mm) dereceli olaraksınıflandırıldı. Çalışmaya 140 hasta[96 erkek (%68.6), 44 kız (%31.4)] dahil edildi. Altmış hasta (%42.9) hafifdereceli, 80 hasta (%57.1) orta dereceli hidronefroza sahipti. Spontan gerilemeoranı hafif hidronefrozlu hastalarda diğer gruptan daha yüksekti [sırası ilen=58 (%96.6), n=48 (%60), p<0.01]. Ortanca gerileme zamanı hafif hidronefrozluhastalarda daha kısa idi [ortanca gerileme zamanı; sırası ile 4 (3-5.25); 6(5-7) ay, p<0.01]. İYE sıklığı hafifve orta dereceli hidronefrozlu hastalar arasında farklı değildi (p>0.05). Hafif ve orta dereceli izole hidronefroz sıklıklakendini sınırlayan bir durumdur. Hafif ve orta dereceli izole hidronefrozluçocuklar antibiyotik profilaksisi başlanmadan izlenebilir.
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UR  - https://doi.org/10.20515/otd.425849
L1  - https://dergipark.org.tr/tr/download/article-file/493317
ER  -