ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG BỆNH THẬN NIỆU QUẢN ĐÔI Ở TRẺ EM ĐƯỢC PHẪU THUẬT BẢO TỒN TẠI BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Complete duplication of the renal collecting system is a common congenital anomaly in the pediatric urological system. Clinical symptoms are diverse but not specific. It is necessary to coordinate with imaging diagnostics to confirm diagnosis and monitor treatment. The surgical intervention is determined based on the morphological characteristics of each patient's pathology. Conservative surgery to treat complete ureteral duplication is receiving increasing attention and research and evaluation Objective: Describe clinical and laboratory charactoristic of complete ureteral duplication in children who received conservative surgery at the national children's hospital. Subjects and Methods: A retrospective analysis of 62 patients who underwent conservative surgery for complete duplication of the renal collecting system at the National Children's Hospital from January 2018 to June 2022. Results: The male-to-female ratio was 1:2.5. 22.6% did not have clinical symptoms, the most common clinical presentation was urinary tract infection, accounting for 56.5%. In this study, the main injury being dilation of the upper renal unit 95.2%, 24.2% had vesicoureteral reflux. Conclusion: The most common clinical symptom is urinary tract infection. Many cases require surgical intervention before symptoms appear. 95.2% dilation of the upper renal.