کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6217756 1273776 2012 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The significance of detrusor wall thickness as a prognostic factor in pediatric bladder outlet obstruction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
The significance of detrusor wall thickness as a prognostic factor in pediatric bladder outlet obstruction
چکیده انگلیسی

PurposeThe purpose of this study is to determine detrusor thickness as a prognostic factor in posterior urethral valves.MethodsThe medical information of 41 patients diagnosed with posterior urethral valves at our institute was retrospectively reviewed. The serum creatinine level after bladder decompression, results of ultrasonography, and voiding cystourethrography were compared between groups divided according to the final bladder and renal function. Detrusor thickness was measured using Müller's method.ResultsThe median detrusor thickness was 1.3 mm (0.4-2.5 mm). After median 45.6 months (7.2-96.0 months) of follow-up, impaired bladder function (IBF) was observed in 14 patients. In multivariate analysis, detrusor thickness greater than 1.3 mm (odds ratio, 32.6; 95% confidence interval, 3.1-340.6; P = .004) was the only independent risk factor for later IBF. Final renal function impairment developed in 24 patients (58.5%), and 3 patients (7.3%) were diagnosed with end-stage renal disease after median 66.0 months (32.4-133.2 months) of follow-up period. On multivariate analysis, age-specific elevated serum creatinine level at presentation (odds ratio, 11.1; 95% confidence interval, 1.1-112.5; P = .042) was an independent risk factor.ConclusionsDetrusor thickness more than 1.3 mm on ultrasonography was an independent prognostic factor for later IBF.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 47, Issue 9, September 2012, Pages 1682-1687
نویسندگان
, , , , ,