Study of renal blood flow in children with obstructive uropathies
https://doi.org/10.52888/0514-2515-2024-362-3-32-38
Abstract
Aim. To evaluate hemodynamic indicators of the kidneys in children with obstructive uropathies.
Materials and Methods. The study was conducted at the Republican Scientific and Clinical Center of Pediatrics and Pediatric Surgery, involving 32 children aged 1 to 14 years, comprising 18 girls (56.3%) and 14 boys (43.7%). The children were divided into 3 groups: Group I with unilateral hydronephrosis - 14 (43.7%) children, Group II with bilateral hydronephrosis - 10 (31.3%) children, and Group III with ureterohydronephrosis - 8 (25%) children.
Results and Discussion. Obstructive uropathy resulting from congenital kidney malformations, such as organic obstruction (hydronephrosis), causes dilation of the renal collecting system, increased ureteral pressure, reduced intrarenal blood flow, renal parenchyma atrophy, and progressive chronic renal failure.
Conclusion. The above findings demonstrate that ultrasound using pulsed-wave Doppler and color Doppler mapping is an optimal non-invasive method for assessing renal hemodynamics.
About the Authors
T. Sh. IkromovTajikistan
Dushanbe
M. Sh. Akhmedzhanova
Tajikistan
Malika Sh. Akhmedzhanova – Head of the Department of Functional Diagnostics and Laboratory Research at the SI Republican Scientific and Clinical Center of Pediatrics and Pediatric Surgery.
Dushanbe
Tel.: +992918643614
M. M. Akhmedova
Tajikistan
Dushanbe
References
1. Detskaya ultrazvukovaya diagnostika. Tom 2. Uronefrologiya [Paediatric ultrasonography. Volume 2. Uronephrology]. Moscow, Vidar-M Publ., 2014. pp. 20-35.
2. Ikromov T.Sh. Sostoyanie pochechnoy gemodinamiki u detey s urolitiazom, oslozhnennym khronicheskoy bolezni pochek [The state of renal haemodynamics in children with urolithiasis complicated by chronic kidney disease]. Mediko-biologicheskoe zhurnal – Medical and Biological Journal, 2016, No. 1, pp. 16-22
3. Kapustin S.V. Ultrazvukovoe issledovanie v urologii i nefrologii [Ultrasound in urology and nephrology]. Moscow, MEDpress-inform Publ., 2023. pp. 36-48
4. Dvoryakovskiy I.V. Ultrazvukovaya anatomiya zdorovogo rebenka [Ultrasound anatomy of a healthy child]. Moscow, Firma STROM Publ., 2009. pp. 224-227
5. Dvoryakovskiy I.V. Ultrazvukovaya diagnostika zabolevaniy mochevydelitelnoy sistemy u detey [Ultrasound diagnosis of diseases of the urinary system in children]. Moscow, Firma STROM Publ., 2011. pp. 65-85
6. Olkhova E.B. Dupleksnoe dopplerovskoe skanirovanie pochek u detey [Duplex Doppler renal examination in children]. Available at: medison.ru.
7. Menovshchikova L.B. Klinicheskie rekomendatsii po detskoy urologii-andrologii [Clinical guidelines for paediatric urology and andrology]. Moscow, Pero Publ., 2015. pp. 6-12.
Review
For citations:
Ikromov T.Sh., Akhmedzhanova M.Sh., Akhmedova M.M. Study of renal blood flow in children with obstructive uropathies. Health care of Tajikistan. 2024;(3):32-38. (In Russ.) https://doi.org/10.52888/0514-2515-2024-362-3-32-38