검진 결과 나타난 소아청소년 무증상 혈뇨에 대한 단일 지역병원에서의 임상적 연구

Abstract

Purpose: A lot of childhood asymptomatic hematuria has been found with urinary mass screening annually. There are some studies about its etiology and prognosis in Korea. But they are all studied in referred hospital. The purpose of this study is to know its clinical characteristics and to help their management in a community based hospital.

Methods: I collected the clinical informations of 101 children who have visited and evaluated at the Department of Pediatrics, YongIn Severance Hospital, YongIn, Korea from January 2005 to December 2007 due to asymptomatic hematuria by health screening. Their features such as age, sex, result of examination , management were investigated.

Results: There were 57 patients of confirmed isolated microscopic hematuria. Forty three patients (75.4%) were elementary school children. Male to female ratio was 0.8:1. Fifty one patients (89.4%) could finished the evaluation sucessfully. There was no cases of abnormal renal function, complement level and hypercalciuria. There were only two cases recommending transfer because of hydronephrosis and suspected Alport syndrome. Median follow-up frequency was 1.0 and fourteen cases (26.9%) were never followed.

Conclusion: This study showed that it was benign at first and could be evaluated practically. But follow up was unsuccessful. Further study should be done to establish the management guideline for it.