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편측성 다낭포성 신이형성증의 임상경과

Other Titles
 Analysis of Children with Unilateral Multicystic Dysplastic Kidney 
Authors
 유지형  ;  육진원  ;  김지홍  ;  김병길  ;  한상원  ;  김명준 
Citation
 Journal of the Korean Society of Pediatric Nephrology (대한소아신장학회지), Vol.4(1) : 63-68, 2000 
Journal Title
Journal of the Korean Society of Pediatric Nephrology(대한소아신장학회지)
ISSN
 1226-5292 
Issue Date
2000
Keywords
Multicystic dysplastic kidney
Abstract
Purpose: MCDK is regarded as a common cause of abdominal masses in children. And the presentation of the MCDK is usually a unilateral flank mass in the a newborn. Bialteral disease results in either fetal demise or necessity fer renal replacement therapy at birth. This study is designed to assess the clinical features and natural history of the unilateral multicystic dysplastic kidney. Patients and Methods: From January 1987 to January 2000 data were obtained retrospectively on 57 patients (28 boys and 29 girls, age ranged 1day-11years) who had a diagnosis of multicystic dysplastic kidney. The diagnosis of multicystic dysplastic kidney was confirmed by a combination of ultrasonography and radionuclide scan. Voiding cystourethrogram study in 31 patients were done to determine the condition of the contalateral kidney. Restllts: 84%
84%
of the patients were diagnosed before birth by antenatal ultrasonography Clinical manifestations of children with postnatal diagnoses were palpable abdominal mass( 3.5%
3.5%
), abdominal distension( 17%
17%
), and incidental( 10.5%
10.5%
). The abnormalities in contralateral kidney were hydronephrosis( 21%
21%
), compensatory hypertrophy( 12%
12%
), simple cyst( 2%
2%
), bifid pelvis( 2%
2%
). Surgical management was performed in 20 patients( 35%
35%
) due to recurrent infection, for diagnostic purpose to differentiate from malignancy and abdominal distention. Follow-up in the remaining 37 patients continued (mean 18 months) and results of sonogram findings were involution change in 23 patients( 40%
40%
) and no interval changes in 13 patient( 23%
23%
). Conclusions : The apparent tendency to regression of the dysplastic kidney and no difference in the number of complications justify a conservative management rather than operative intervention except in associated severe complications such as urinary tract infection or rupture of cysts.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myung Joon(김명준) ORCID logo https://orcid.org/0000-0002-4608-0275
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172163
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