文献詳細
特集 90分で習得できる! 先天性水腎症と膀胱尿管逆流のすべて
〈先天性水腎症〉
文献概要
▶ポイント
・腎盂形成術後経過中に水腎症が悪化・再発する症例は5%未満であるが,分腎機能は,水腎症の悪化を認めなくとも低下する症例が存在する.
・術後5年以上経過した症例においても,まれながら水腎症の再発をみることがある.
・術後のフォローアップにおける標準的な検査施行時期および方法は存在しない.少なくとも定期的な検尿や超音波検査は推奨されるが,いつまで行うべきかの明確な指標は存在しない.
・腎盂形成術後経過中に水腎症が悪化・再発する症例は5%未満であるが,分腎機能は,水腎症の悪化を認めなくとも低下する症例が存在する.
・術後5年以上経過した症例においても,まれながら水腎症の再発をみることがある.
・術後のフォローアップにおける標準的な検査施行時期および方法は存在しない.少なくとも定期的な検尿や超音波検査は推奨されるが,いつまで行うべきかの明確な指標は存在しない.
参考文献
1) 日本小児泌尿器科学会学術委員会 : 小児先天性水腎症 (腎盂尿管移行部通過障害) 診療手引き2016. 日小児泌会誌25 : 1, 2016
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