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SM ISO690:2012 KUBESEITOV, B., ZHANTELIEVA, Liazat. Evaluation of Kidney Functioning among Patients with Vesicoureteral Reflux by Ultrasound Doppler Sonography. In: Curierul Medical, 2010, nr. 4(316), pp. 19-22. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 4(316) / 2010 / ISSN 1875-0666 | ||||||
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Pag. 19-22 | ||||||
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The kidney, by virtue of its functional and anatomic peculiarities, serves as a good model for research of haemodynamics, which allows using
ultrasound Doppler sonography (USDS) for defining the degree of damage of kidney parenchyma and control in dynamics. The extent of kidney
damage among patients with vesicoureteral reflux (VCR) is in direct dependence from the degree of reflux, age of the patient, often recrudescence
of pyelonephritis. One of the serious recrudescences of VCR among children is chronic pyelonephritis. That is why cicatrization of the kidney
parenchyma, decreasing sizes of organs and decreasing function of kidneys under VCR is proportional to the duration and intensity of bacterial
and inflammatory process. In this connection, the functional state of the kidney parenchyma is in the state of direct dependence from the state
of urodynamics of the lower genial tracts (LGT), and it is possible that intravesical hypertension directly influences on kidneys’ circulatory
dynamics. There were 125 children examined with VCR between the the ages of 5 to 15. Out of those 5 to 15 years old, there were 77 (61.6%), and
there were 48 (38.4%) between the ages of 11 to 15. Ultrasound Doppler sonography of kidney haemodynamics vessels was performed step by
step with empty, filled and void urinary bladder, which allowed finding out the influence of functional defects of LGT on the state of the kidney
parenchyma among patients with VCR. Wide application of USDS in clinical practice with analysis of qualitative and quantitative parameters
of the Doppler spectrum of the kidney haemodynamics among patients with VCR against a background of different hydrodynamic situations
of the urinary bladder, indicate a deep damages of the kidney parenchyma and assist in adequate choice of terms for conservative treatment and
justify timely application of surgical correction in order to eliminate progress of cicatrical-sclerotic damages of the kidney parenchyma. |
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Cuvinte-cheie kidney, doppler sonography, vesicoureteral reflux, renal haemodynamics |
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