RISK FACTORS CAUSING RENAL SCARRING DAMAGE IN PATIENT WITH SPINA BIFIDA

Duy Việt Nguyễn

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Abstract

Aim: describes risk factors that cause renal scarring in patients with spina bifida. Subject: retrospective medical records of 62 patients with neurogenic bladder due to spina bifida who had done spina bifida surgery at the National Hospital of Pediatrics from 01/2013 to 31/03/2019. All patients have been done 99mTc-DMSA to evaluate renal scaring or not. Voiding cystography shows vesicoureteral reflux or without vesicoureteral reflux and urinary tract infection history was taken note. SPSS analysis with p < 0.05, statistical significance.  Results: 62 patients with neurogenic bladder due to spina bifida including 45,5% were male and 54,5% were female. Myelomeningocele was 72,6%, and limpo myelomeningocele was 27,4%. 18 patients (29,0%) presented renal scaring on DMSA with a mean age was 5,1 ± 3,1 years (p < 0,05). 29 patients (46,8%) had vesicoureteral reflux and 38 patients (61,3%) had urinary tract infections. Renal scarring associated with vesicoureteral reflux and urinary tract infection with 48,3% and 42,1%, statistical significance.  Conclusion: vesicoureteral reflux and urinary tract infection were factors that have caused renal sacring in patients with spina bifida.

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References

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