Prenatální a postnatální ultrazvukový (UZ) screening zlepšil časný záchyt vad ledvin a močových cest. Dilatace kalichopánvičkového systému (KPS) ledviny - hydronefróza je nejčastěji zjišťovanou orgánovou abnormalitou. Nejen dětští nefrologové a urologové, ale každý praktický lékař pro děti a dorost (PLDD) má v péči děti s dilatací KPS. K určování závažnosti dilatace KPS jsou používány různé stupnice, v České republice byla pro postnatální dilataci KPS nejčastěji požívána klasifikace dle SFU. Tento článek seznamuje s novou mezinárodní "UTD klasifikací" dilatace močových cest, zahrnující prenatální i postnatální UZ nálezy. Uvádí výhody a nevýhody této klasifikace a konverzi z klasifikace SFU na UTD. V krátkých kazuistikách je demonstrováno správné načasování diagnostického postupu při různých stupních dilatace močových cest.
Prenatal and postnatal ultrasound (US) screening has improved the early detection of renal and urinary disorders. The most commonly identified organ abnormality is pelvicalyceal dilatation (PCD) - hydronephrosis. Apart from pediatric nephrologists and urologists, virtually all general pediatricians care for children with PCD. To determine the severity of PCD, various scales are used; in the Czech Republic, the SFU grading system has been most commonly used for postnatal PCD. The paper introduces the UTD classification of urinary tract dilatation, a novel international system including both prenatal and postnatal US findings. It explains the advantages and disadvantages of the classification as well as the conversion from the SFU to the UTD system. Short case reports demonstrate the proper timing of diagnosis with respect to different grades of urinary tract dilatation.
- Keywords
- pelviureterální junkce,
- MeSH
- Diagnostic Techniques, Urological MeSH
- Dilatation, Pathologic etiology therapy MeSH
- Hydronephrosis * diagnostic imaging etiology classification MeSH
- Infant MeSH
- Kidney Pelvis * abnormalities diagnostic imaging pathology MeSH
- Humans MeSH
- Urinary Tract abnormalities diagnostic imaging pathology MeSH
- Ureteral Obstruction diagnosis therapy congenital MeSH
- Ultrasonography methods MeSH
- Ureterocele diagnosis therapy congenital MeSH
- Vesico-Ureteral Reflux diagnosis etiology MeSH
- Treatment Outcome MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
- MeSH
- Antibiotic Prophylaxis MeSH
- Hydronephrosis * diagnosis etiology classification prevention & control MeSH
- Infant MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Ultrasonography, Prenatal MeSH
- Ureter physiopathology MeSH
- Vesico-Ureteral Reflux MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- MeSH
- Kidney Diseases, Cystic diagnosis physiopathology congenital MeSH
- Diagnostic Techniques, Urological utilization MeSH
- Child MeSH
- Hydronephrosis etiology classification therapy MeSH
- Kidney abnormalities MeSH
- Humans MeSH
- Urinary Tract abnormalities MeSH
- Kidney Diseases diagnosis MeSH
- Ureteral Diseases diagnosis complications congenital MeSH
- Fetal Diseases diagnosis MeSH
- Infant, Newborn MeSH
- Urethral Obstruction diagnosis physiopathology therapy MeSH
- Fetus MeSH
- Prenatal Diagnosis MeSH
- Ureter abnormalities physiopathology MeSH
- Ureterocele congenital MeSH
- Urologic Diseases diagnosis MeSH
- Vesico-Ureteral Reflux diagnosis surgery MeSH
- Congenital Abnormalities diagnosis MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Infant, Newborn MeSH
- Female MeSH
- MeSH
- Diagnostic Techniques, Urological contraindications instrumentation trends MeSH
- Hydronephrosis diagnosis classification physiopathology MeSH
- Chemistry, Clinical methods MeSH
- Disease Attributes MeSH
- Humans MeSH
- Infant, Newborn, Diseases diagnosis MeSH
- Fetal Diseases drug therapy MeSH
- Prenatal Diagnosis MeSH
- Ultrasonography, Prenatal classification methods utilization MeSH
- Check Tag
- Humans MeSH
- MeSH
- Diagnostic Techniques, Urological classification instrumentation trends MeSH
- Hydronephrosis diagnosis classification physiopathology MeSH
- Humans MeSH
- Infant, Newborn, Diseases surgery MeSH
- Urologic Surgical Procedures contraindications methods utilization MeSH
- Check Tag
- Humans MeSH
- Publication type
- Comparative Study MeSH
- MeSH
- Hydronephrosis classification ultrasonography MeSH
- Humans MeSH
- Sensitivity and Specificity MeSH
- Ultrasonography MeSH
- Check Tag
- Humans MeSH
- Publication type
- Congress MeSH
- Comparative Study MeSH
