新生児期に発見された尿路異常症例の検討

概要

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To study the urological problems in the newborn, we analysed the clinical data of 41 patients with congenital urinary tract anomalies which had been detected in his or her first month of life between 1973 and 1986. There were 10 patients with posterior urethral valve, 7 with pelvi-ureteric stenosis (hydronephrosis), 6 with ureterocele, 6 with multicystic kidney, 5 with vesicoureteral reflux (VUR), and 7 others. Most common signs and symptoms indicating urological survey were abdominal mass (21 patients, 51%) and urinary tract infections (18 patients, 44%). Other signs and symptoms were abnormal voiding in the patients with urethral valve, failure to thrive of the patients in renal dysfunction and urine ascites. Prenatal diagnosis was made in 5. They were transfered to us and evaluated during the newborn period before clinical symptoms appeared. Prompt urological management was required in 12 patients. Of 10 neonates who had had enlarged bladder from urinary retention, urethral catheter was indwelt in 7 and cystostomy was performed in 3. Nephrostomy was placed in 2 patients with hydronephrotic solitary kidney. The follow up study of these patients showed impaired renal function in 9 (22%) and urinary incontinence in 6 (15%).
特定非営利活動法人日本小児外科学会の論文
1988-06-20