EXAMINATION OF PEDIATRIC PATIENTS WITH PATHOLOGICALLY MOBILE KIDNEY AND NEPHROPTOSIS
Abstract
The aim was to determine the management tactics for children with pathologically mobile kidneys.
Material and methods. 266 outpatient records of children with an ultrasound picture of increased kidney mobility were analyzed. Based on the results obtained, three groups of patients were formed. The first - children with pathological kidney mobility less than 3% of height, without pathological clinical and laboratory parameters; the second - patients with kidney mobility more than 3% of height and one clinical manifestation; third - children with kidney mobility of more than 3% of height and one or more clinical manifestations, requiring surgical treatment.
Results. The scope of examination of children with increased kidney mobility based on the results of sonography and indications for surgical treatment of children with nephroptosis have been determined.
Conclusion. The management tactics for children with pathologically mobile kidneys have been determined. Kidney displacement of more than 3% of the child’s height, as determined by sonography, is an indication for intravenous urography. The degrees of nephroptosis are indicated based on intravenous urography. Indications for surgical intervention were determined, including: clinical manifestations, results of sonography and intravenous urography.
About the Authors
Yu. V. Ten
ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. I. Metalnikov
ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
K. R. Frolkova
ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
E. V. Ponomareva
ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
N. V. Timoshenskaya
КГБУЗ «Алтайский краевой клинический центр охраны материнства и детства»
Russian Federation
Russian Federation
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Review
For citations:
Ten Yu.V., Metalnikov A.I., Frolkova K.R., Ponomareva E.V., Timoshenskaya N.V. EXAMINATION OF PEDIATRIC PATIENTS WITH PATHOLOGICALLY MOBILE KIDNEY AND NEPHROPTOSIS. Bashkortostan Medical Journal. 2024;19(1):22-26. (In Russ.)
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