산전발견된 신생아 수신증에서 배뇨중방광요도조영술의 의의: 반드시 필요한가?
The Value of Voiding Cystoureterography on Patients with Prenatal Hydronephrosis: Is It Essent ?
김성훈, 이은석, 박재신,
소속 상세정보
김성훈 ( Kim Sung-Hoon )
대구가톨릭대학교 의과대학 비뇨기과학교실
이은석 ( Lee Eun-Seock )
대구가톨릭대학교 의과대학 비뇨기과학교실
박재신 ( Park Jae-Shin )
대구가톨릭대학교 의과대학 비뇨기과학교실
KMID : 0358320040450030215
Abstract
Purpose: VCUG has been performed increasingly in neonates with prenatal hydronephrosis. Here, whether VCUG is essential in neonates with mild to moderate hydronephrosis has been investigated.
Materials and Methods: 65 neonates with less than Society for Fetal Urology grade II hydronephrosis were reviewed. 28 neonates underwent VCUG and 37 neonates were observed without VCUG. An investigation of renal complications was performed using DMSA renal scan, urine analysis and urine culture for up to 60 months postnatally.
Results: 4(14.3%) of the 28 neonates presented VUR and received prophylatic antibiotics. Of these 1 case with G V VUR underwent reimplantation due to poor compliance. All 24 neonates with negative VCUG were followed and none showed any signs of UTI. All 14 neonates evaluated by urine analysis and urine culture had normal results, and all 7 neonates evaluated by DMSA renal scan had normal findings. 34 of the 37 neonates observed without VCUG were followed. All 15 evaluated by urine analysis and urine culture and all 3 evaluated by DMSA presented normal results. None of the other 16 showed any signs of UTI. 3 neonates were followed up by telephone-call and showed no signs of UTI.
Conclusions: On applying VCUG in neonatal hydronephrosis, VUR was detected in 14.3% of the cases, which was significantly higher than that reported among normal children(approximately 1%). However, those hydronephrosis patients without VCUG showed no signs of UTI. Although the study of VCUG is important, it’s application to every patients with prenatal hydronephrosis is controversial. Therefore, it is our belief that VCUG may not be essential in neonatal patients with less than grade II hydronephrosis if proper care and periodic tests are given.
키워드
Hydronephrosis;Vesicoureteral reflux;Prenatal diagnosis
원문 및 링크아웃 정보
등재저널 정보