小儿返流性肾病31例临床分析

目的提高对小儿返流性肾病的认识，以早期诊断和治疗。方法收集３１例返流性肾病住院患儿的资料，进行临床分析和统计学处理。结果原发性返流占３５５％，继发性返流占６４５％；继发性返流起病早，部分患儿生后即可出现症状，而原发性返流患儿就诊晚，返流程度严重并且肾功能损害明显多于继发性返流患儿。结论小儿返流性肾病以继发性多见，男孩多见，且均继发于泌尿系统畸形；返流的严重程度与肾功能损害相关

The clinical analysis of 31 children with reflux-nephropahy.

Objective To increase recognizing reflux-nephropathy in children.Methods We collected the data of hospitallized 31 children with reflux-nephropathy.Results PVUR occupied 35 5% and SVUR occupied 64 5%;the symptoms of SVUR occured is earlier than PVUR and some patients occured symptoms at birth.The children with PVUR were latter go to see doctor and their reflux were severe with renal functional damage,which is much more than SVUR.Conclusion SVUR was much more than PVUR in the 31 children and male was predominant,who all were secondary to urinary tract abnormalities.The severity of reflux was associated with renal functional damage.