Korean Journal of Nephrology 1984;3(2):177-183.

소아연령에서 Hydronephrosis 의 임상적 관찰 및 치료법에 대한 고찰

이진용 , 박희대 , 김병길 , 이재승 , 최승강

Abstract

Hydronephrosis may be defined as a condition in which an increased intrarenal capacity is asso- ciated with residual urine in the renal pelvis due to either anatomic or functional obstruction of the urinary tract below the pelvis. A clinical observation was,performed on the 46 cases of hydronephrosis confirmed hy pathologic reports, operative findings and IVP, who were admitted to Severance and Youngdong Hospital from January 1979 to December 1983 and the follo- wings were obtained; 1) The most prevalent age was below 1 year after birth as 37% of the total patients, and male to female ratio was 2: 1, 2) The incidence of pathologic side was twice as common in left side as the right and 30% of the total cases were bilateral. The most frequently affected site was ureteropelvic junction. 3) The symptoms and signs on admission were G-U trouble(43%) fever(30%), flank pain(26%), abdominal mass or distention(22%), G-I trouble (13%), and so on. 4) The incidence of abnormal urinalysis findings on admission was 32 cases(70%). 5) Other associated diseases in G-U tract were found in 25 cases(54%) and the most frequent dis- ease was vesicoureteral reflux. 6) Operation was performed in 34 cases(74% ) and in these cases, about one third was received ureteropyeloplasty. Postoperative complications were found in 2 cases(7.4%) at follow-up.