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일측성 다낭성 이형성 신에서의 자연경과

DC Field Value Language
dc.contributor.author전형진-
dc.contributor.author한상원-
dc.date.accessioned2017-10-26T06:31:10Z-
dc.date.available2017-10-26T06:31:10Z-
dc.date.issued2005-
dc.identifier.issn0494-4747-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/150918-
dc.description.abstractPurpose: 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.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한비뇨기과학회-
dc.relation.isPartOfKOREAN JOURNAL OF UROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHMulticystic kidney dysplasia-
dc.subject.MESHFollow-up studies-
dc.title일측성 다낭성 이형성 신에서의 자연경과-
dc.title.alternativeThe Natural Course in Children with Unilateral Multicystic Dysplastic Kidney-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨의학교실)-
dc.contributor.departmentDept. of Urology (비뇨의학교실)-
dc.contributor.googleauthor주정민-
dc.contributor.googleauthor전형진-
dc.contributor.googleauthor한상원-
dc.identifier.doiOAK-2005-03779-
dc.contributor.localIdA03563-
dc.contributor.localIdA04285-
dc.relation.journalcodeJ02135-
dc.relation.journalsince1983~2009-
dc.relation.journalafter2009~ Korean Journal of Urology-
dc.subject.keywordMulticystic kidney dysplasia-
dc.subject.keywordFollow-up studies-
dc.contributor.alternativeNameJeon, Hyung Jin-
dc.contributor.alternativeNameHan, Sang Won-
dc.citation.volume46-
dc.citation.number9-
dc.citation.startPage914-
dc.citation.endPage919-
dc.identifier.bibliographicCitationKOREAN JOURNAL OF UROLOGY, Vol.46(9) : 914-919, 2005-
dc.date.modified2017-05-04-
dc.identifier.rimsid42769-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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