小児における膀回体逆流症
1Department of Nephrology, Great Ormond Street Hospital for Children, London, UK.
Lancet (London, England)
|August 29, 2014
まとめ
腎臓への尿の逆流である膀回路逆流 (Vesicoureteric reflux,VUR) は,多くの乳児に影響する. このセミナーでは,小児VURの現在の管理戦略をレビューし,最新のガイドラインと議論の多い勧告を強調します.
科学分野:
- 小児腎臓病理学について
- 泌尿器科 泌尿器科とは
背景:
- 膀逆流 (Vesicoureteric reflux,VUR) は,膀から尿管と腎臓に逆流する尿を伴うもので,主に乳児に影響する.
- 重度のVURは,尿管および腎臓の骨盤の拡張につながる可能性があります.
- 最近の研究では,子供のVURの罹患率がこれまで考えられていたよりも高い (25-40%) ことが示されています.
研究 の 目的:
- 小児ベシコウレテリック逆流の管理に関するデータを提示する.
- 子どもにおけるVUR管理に関する現在の,しばしば論争の的となる,推奨事項をナビゲートするためのガイドラインを提供すること.
主な方法:
- 小児ベシキュレテリックリフルークスに関する現在の文献と臨床データのレビュー.
- VURの調査と治療に関する既存のガイドラインの分析.
主要な成果:
- VURの罹患率に関する伝統的な見解は過小評価されているかもしれませんが,現在の推定では,罹患した子供の25-40%が罹患していることが示唆されています.
- ガイドラインでは,発熱性尿路感染症の後にVURの検査を減らすことを推奨しています.
- 予防的な抗生物質と手術は,重度の小児VUR症例では推奨されません.
結論:
- 小児VURの現在の管理ガイドラインについて議論されています.
- 最適な患者ケアのために,VUR管理戦略を批判的に見直す必要がある.
- このセミナーでは,VURを患っている子どもの管理について,明確さと提案を提供することを目的としています.
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