INTERDISCIPLINARY APPROACH TO MANAGEMENT OF CHILDREN WITH OBSTRUCTIVE NEPHROPATHY IN PREVENTION OF CHRONIC KIDNEY DISEASE
- 作者: Makovetskaya GA1, Terekhin SS1, Danilova ZB1, Bazranova Y.Y.1, Barinov IV1
-
隶属关系:
- 期: 编号 4 (2011)
- 页面: 55-59
- 栏目: Articles
- URL: https://journals.eco-vector.com/2075-3594/article/view/245984
- ID: 245984
如何引用文章
全文:
详细
Aim. Analysis of clinical course and outcomes of obstructive uropathy in children and determination of multidisciplinary approach to prevention of chronic kidney disease in this patients.
Methods. 265 children with obstructive uropathies (hydronephrosis, megaurether) in age 1 month - 17 years were analyzed during period years 1999 - 2010. In 145 children with megaurether outcomes of kidney disease were retrospectively assessed; prospectively 120 children with hydronephrosis or megaurether were followed prospectively.
Results. In retrospective part of the study 36,8% children recovered completely, 14,5% developed terminal rebal failure, chronic kidney disease stage II - IV - in 46,9%. Decrease in estimated glomerular filtration rate detected in 30% of children during 3 years of follow-up.
Conclusion. Children with obstructive uropathy require early diagnosing and follow-up by nephrologists and urologists.
Methods. 265 children with obstructive uropathies (hydronephrosis, megaurether) in age 1 month - 17 years were analyzed during period years 1999 - 2010. In 145 children with megaurether outcomes of kidney disease were retrospectively assessed; prospectively 120 children with hydronephrosis or megaurether were followed prospectively.
Results. In retrospective part of the study 36,8% children recovered completely, 14,5% developed terminal rebal failure, chronic kidney disease stage II - IV - in 46,9%. Decrease in estimated glomerular filtration rate detected in 30% of children during 3 years of follow-up.
Conclusion. Children with obstructive uropathy require early diagnosing and follow-up by nephrologists and urologists.
参考
- Папаян А.В., Стяжкина И.С. Неонатальная нефрология: руководство. Спб.: Питер. 2002.
- Папаян А..В., Савенкова Н.Д. Клиническая нефрология детского возраста. СПб.: издательство «Левша». 2008.
- Молчанова Е.С. Регистр детей с хронической почечной недостаточностью в России. В: Игнатова М.С.(ред.) Детская нефрология. Руководство для врачей. 3 -е издание. М.: МИА. 2011. 601 - 603.
- Лойманн Э., Цыгин А.Н.,Саркисян А.А.(ред.) Детская нефрология. Практическое руководство. М.: Издательство «Литтерра». 2010.
- Woolf A.S., Thiruchelvam N. Congenital obstructive uropathy: its origin and contribution to end-stage renal disease in children. Adv. Ren. Replace Ther. 2001; 8(3): 157-163.
- Strauss A., Fuchshuber S., Burges A. et al. Fetal jbstructiv uropathy - diagnosis and possible treatment. Z. Geburtsh. Neonatol. 2001; 205 (3): 117-121.
- Yoshida J., Tsuchiya V., Tatsuma N., Mucarami M. Mass screening for early detection of congenital kidney and urinary tract abnormalities infancy. Pediatr. Int. 2003; 45(2): 142-149.
- Паунова С.С. Рефлюкс - нефропатии. В: Игнатова М.С.(ред.) Детская нефрология. Руководство для врачей. 3-е издание. М.: МИА. 2011. 502 - 511.
- Приходина Л.С, Длин В.В., Игнатова М.С. Риск прогрессирования стероид - резистентного нефротического синдрома у детей, ассоциированного с малой массой тела пари рождении. Нефрология и диализ. 2010; 12 (1): 39 -45.
- Глыбочко П.В., Свистунов А.А., Россоловский А.Н.и др. Эндотелиальная дисфункция у больных мочекаменной болезнью. Урология. 2010; 3: 3 -6.
- Нogg R.J., Furth S., Lemeley K.V. et al. National Kidney Foundation's Kidney Disease Outcomes Quality Initiative clinical pracrice guidelines for chronic kidney disease in children and adolescents: evaluation, classification and stratification. Pediatrics, 2003; 111(6): 1416-1421.
- Мухин Н.А. Снижение скорости клубочковой фильтрации - общепопуляционный маркер неблагоприятного прогноза. Терапевтический архив. 2007; 6: 5-10.
- Юшко К.И. Пренатальная урология: вчера, сегодня, завтра. Урология. 2009; 1: 75 - 81.
- Игнатова М.С. (ред.) Детская нефрология. Руководство для врачей, 3 -е издание. М.: МИА; 2011.
- Музыченко З.Н. Осложненные инфекции мочевыводящих путей у детей. Российский педиатрический журнал. 2010; 1: 28 -32.
- Мавлянов Ф.Ж. Прогноз результатов хирургического лечения обструктивных уропатий у детей. Российский вестник детской хирургии, анестезиологии и реанимации. 2010; 2: 92 -93.
补充文件
