文档介绍：徐州市及其周边地区3岁以下儿童泌尿系疾病的现状分析
【摘要】目的了解徐州市及其周边地区3岁以下儿童泌尿系疾病的发病情况。方法行双肾彩超、CT尿路造影(CTU)、尿常规、中段尿培养等检查。结果接受检查者共7 705例,泌尿系结石95例(%),其中单纯泌尿系结石76例,结石伴积水19例;先天泌尿系畸形43例(%),分别为肾盂输尿管连接处狭窄20例,发病率最高,单侧肾缺如7例,肾囊肿者7例,肾盂发育畸形2例,异位肾2例,输尿管末端囊肿2例,单侧肾发育不良1例,输尿管末端狭窄1例,重复肾1例;肾母细胞瘤4例(%);泌尿系感染17例(%);肾病综合征7例(%);无症状蛋白尿2例(%);孤立性血尿5例(%)。结论①在婴幼儿中进行超声、尿检等无创性筛查,能早期发现一些隐匿性泌尿系疾病,减少终末期肾病的发生。②本次检查中泌尿系结石的发病率明显增高,考虑与食品中过量的添加剂有关。③先天性泌尿系畸形中以肾盂输尿管交界处狭窄所占比例最高,且一般都伴有肾积水。
【关键词】先天性泌尿系畸形;流行病学调查;儿童
Abstract:Objective To investigate the morbidity rate of urinary diseases in children under 3 years of age in Xuzhou and its surrounding Medical examinations including renal color Doppler ultrasound, computed tomography urography (CTU), urine routine, mid-stream urine culture, etc. were conducted during the survey. Results Of the 7 705 cases examined, 95 cases were diagnosed as urolithiasis (%), including 76 cases of simple urolithiasis and 19 cases of urolithiasis with hydronephrosis; 43 children were diagnosed as having congenital urinary tract malformation (%), including 20 cases of ureteropelvic junction (UPJ) stenosis, 7 cases of unilateral renal agenesis, 7 cases of renal cyst, 2 cases of pelvis developmental malformation, 2 cases of
ectopic kidney, 2 cases of terminal ureteral cyst, 1 case of solitary renal dysplasia, 1 case of terminal ureteral stenosis and 1 case of renal