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방광요관역류를 가진 소아에서의 신초음파 소견

Other Titles
 Ultrasonographic Findings in Children with Vesicoureteral Reflux. 
Authors
 최민정 ; 박세진 ; 김기혁 ; 신재일 
Citation
 대한소아신장학회지, Vol.16(1) : 32~37, 2012 
Journal Title
 대한소아신장학회지 
ISSN
 1226-5292 
Issue Date
2012
Abstract
PURPOSE: The aim of this study is to investigate the renal ultrasonographic findings in children with vesicoureteral reflux (VUR). METHODS: We retrospectively reviewed the medical records of 83 patients who were diagnosed with VUR and underwent ultrasonography at Ilsan hospital between January 2000 and December 2010. RESULTS: Among 166 renal units, 108 (65.0%) were found to have vesicoureteral reflux (VUR). Fifty-one (73.9%) had VUR in renal units with abnormal ultrasonography (USG), whereas 57 (58.7%) had VUR in renal units with normal USG. Abnormal USG findings were independent risk factors for VUR (Odds ratio, 1.98; 95% CI, 1.01-3.89; P=0.045). In renal units with VUR, the number of normal USG finding was 52.8%, and the abnormal findings were as follows; increased cortical echogenicity 16.7%, hydronephrosis 17.6%, megaureter or ureter dilatation 8.3%, hydronephrosis and ureter dilatation 1.9%, duplication of ureter 1.9%, and atrophic kidney 0.9%. The prevalence of VUR was relatively higher in renal units with hydronephrosis (23/19, 82.6%), ureter dilatation (9/9, 100%), duplication of ureter (2/3, 66.6%), and atrophic kidney (1/1, 100%). CONCLUSION: Our study indicates that VUR was associated with abnormal USG findings. When there are abnormal USG findings such as hydronephrosis, ureter dilatation, duplication of ureter, and atrophic kidney in children with UTI, VCUG is recommended to detect VUR after controlling UTI.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/92259
DOI
10.3339/jkspn.2012.16.1.32
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Pediatrics
Yonsei Authors
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