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일측성 다낭성 이형성 신에서의 자연경과
DC Field | Value | Language |
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dc.contributor.author | 전형진 | - |
dc.contributor.author | 한상원 | - |
dc.date.accessioned | 2017-10-26T06:31:10Z | - |
dc.date.available | 2017-10-26T06:31:10Z | - |
dc.date.issued | 2005 | - |
dc.identifier.issn | 0494-4747 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/150918 | - |
dc.description.abstract | Purpose: Advances in modern ultrasonography combined with a dimercaptosuccinic acid (DMSA) renal scan have permitted the diagnosis of a multicystic dysplastic kidney (MCDK) with a high degree of certainty. Most multicystic dysplastic kidneys undergo spontaneous involution during follow-up, as demonstrated by serial ultrasonography. The purpose of this study was to contribute to a better understanding of the natural history of a MCDK, and suggest guidelines for follow-up of a MCDK. Materials and Methods: Between November 1988 and May 2004, 142 children with a MCDK were diagnosed at our institute. A retrospective data analysis was carried out on 38 patients who were conservatively managed and followed for more than 6 months. Follow up ultrasonography examinations were performed every 6 months until patients were 5 years old, and annually thereafter. Patients were divided into simple and complex MCDK based on postnatal physical examination and renal ultrasonography. A simple MCDK was defined as unilateral renal dysplasia without genitourinary abnormalities. Complex MCDK included patients with unilateral renal dysplasia, but with other genitourinary abnormalities. Results: The follow-up periods ranged from 6 to 76 months, with a median of 21.5 months. Partial and complete involution of the affected kidney was observed in 6 (15.8%) and 8 (21.1%) patients, respectively. There was no significant difference in the median involution time between the groups. The median time to involution in all patients was 36 months. Conclusions: Conservative management for a MCDK appears to be a safe option. Because of a complex MCDK has a high incidence of UTI, prophylactic antibiotics may be required. We recommend the long-term follow-up of a MCDK using ultrasonography monitoring. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한비뇨기과학회 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Multicystic kidney dysplasia | - |
dc.subject.MESH | Follow-up studies | - |
dc.title | 일측성 다낭성 이형성 신에서의 자연경과 | - |
dc.title.alternative | The Natural Course in Children with Unilateral Multicystic Dysplastic Kidney | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | 주정민 | - |
dc.contributor.googleauthor | 전형진 | - |
dc.contributor.googleauthor | 한상원 | - |
dc.identifier.doi | OAK-2005-03779 | - |
dc.contributor.localId | A03563 | - |
dc.contributor.localId | A04285 | - |
dc.relation.journalcode | J02135 | - |
dc.relation.journalsince | 1983~2009 | - |
dc.relation.journalafter | 2009~ Korean Journal of Urology | - |
dc.subject.keyword | Multicystic kidney dysplasia | - |
dc.subject.keyword | Follow-up studies | - |
dc.contributor.alternativeName | Jeon, Hyung Jin | - |
dc.contributor.alternativeName | Han, Sang Won | - |
dc.citation.volume | 46 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 914 | - |
dc.citation.endPage | 919 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF UROLOGY, Vol.46(9) : 914-919, 2005 | - |
dc.date.modified | 2017-05-04 | - |
dc.identifier.rimsid | 42769 | - |
dc.type.rims | ART | - |
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