PROGNOSTIC VALUE OF SONOGRAPHY IN CHILDHOOD NEPHROTIC SYNDROME

被引：8

作者：

GERSHEN, RS ^{[1
]}

BRODY, AS ^{[1
]}

DUFFY, LC ^{[1
]}

SPRINGATE, JE ^{[1
]}

机构：

[1] SUNY BUFFALO,DEPT PEDIAT,BUFFALO,NY 14222

来源：

PEDIATRIC NEPHROLOGY | 1994年 / 8卷 / 01期

关键词：

NEPHROTIC SYNDROME; KIDNEY ULTRASOUND; ECHOGENIC KIDNEYS; NEPHROMEGALY;

D O I：

10.1007/BF00868271

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

This retrospective case review of 43 children with primary nephrotic syndrome was designed to evaluate the relationship among renal ultrasound findings at presentation, subsequent corticosteroid responsiveness and histological diagnoses. Fifty-one percent of patients had abnormal sonograms; nephromegaly was present in 42% and increased renal echogenicity in 35%. There was no relationship between nephromegaly and either response to corticosteroids or specific glomerular lesions causing nephrosis. Although the presence of echogenic kidneys did not denote a particular type of renal disease, it was significantly more frequent in corticosteroid-resistant than in corticosteroid-responsive patients (62% vs. 18%, P <0.05). We conclude that increased renal echogenicity at time of presentation is a possible indicator of corticosteroid resistance in children with primary nephrotic syndrome.

引用

页码：76 / 78

页数：3