J Korean Soc Pediatr Nephrol > Volume 5(2); 2001 > Article
Journal of the Korean Society of Pediatric Nephrology 2001;5(2): 182-187.
경증의 태아 신우확장이 갖는 임상적 의의와 생후 배뇨성 방광요도조영술의 역할
박소은, 김소현, 유은선, 박은애, 이승주
1이화여자대학교 의과대학 소아과학교실, 의과학연구소
2이화여자대학교 의과대학 소아과학교실, 의과학연구소
3이화여자대학교 의과대학 소아과학교실, 의과학연구소
4이화여자대학교 의과대학 소아과학교실, 의과학연구소
5이화여자대학교 의과대학 소아과학교실, 의과학연구소
Clinical Significance of Mild Fetal Pelviectasia and The Role of Postnatal Voiding Cystourethrography
So-Eun Park, So-Hyun Kim, Eun-Sun Yoo, Eun-Ae Park, Seung-Joo Lee
1Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
2Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
3Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
4Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
5Department of Pediatrics, Ewha Womans University, College of Medicine, Ewha Medical Research Center
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ABSTRACT
Purpose : To evaluate the clinical significance of antenatally detected mild fetal pelviectasia and the role of voiding cystourethrography (VCUG)
Methods : From January 1999 to September 1999, 28 neonates (44 pelviectatic kidneys) with mild fetal pelviectasia (anteroposterial diameter <10 mm) were evaluated by postnatal renal sonography and voiding cystourethrography.
Results : Among 44 mild pelviectatic kidneys, 29 ($65.9%$) kidneys had no pelviectasia and 15 ($34.1%$) kidneys had persistent mild pelviectasia on postnatal renal sonography. Four ($9.1%$) kidneys of 3 males ($10.7%$) without pelviectasia on postnatal renal sonography had vesicoureteral reflux (VUR) on voiding cystourethrography. Vesicoureteral reflux was not correlated with prenatal progression or regression of pelviectasia and was not correlated with postnatal pelviectasia.
Conclusion : All neonate with mild fetal pelviectasia need to undergo voiding cystourethrography for early diagnosis of vesicoureteral reflux even though postnatal renal sonography shows no pelviectasia. (J Korean Soc Pediatr Nephrol 2001 ;5 : 182-87)
Key words: Mild fetal pelviectasia | Vesicoureteral reflux | Voiding cystourethrography
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