Nasriddin Shamsiddinovich Ergashev
Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
Jamoliddin Baxronovich Sattarov
Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan
Bahromjon Halimjonovich Mirzakarimov
Andijan State Medical Institute, Andijan, Uzbekistan
Sherzod Olimovich Toshboyev
Andijan State Medical Institute, Andijan, Uzbekistan
Zoirjon Shokirovich Turakulov
Andijan State Medical Institute, Andijan, Uzbekistan
Nuriddin Zuxriddinovich Isakov
Andijan State Medical Institute, Andijan, Uzbekistan
Abstract
The aim of the study was to study the diagnostic value of dynamic Doppler ultrasonography of intrarenal blood flow and the state of the parenchyma in children with obstructive uropathy. A total of 128 patients with obstructive uropathy of various origins aged from 3 months to 17 year were examined. A comprehensive ultrasound examination of the kidneys using Doppler ultrasonography made it possible to assess the state of the renal blood flow in children with obstructive uropathy.
All patients with obstructive uropathy were divided into 3 groups. Group I included children (29) with urodynamic disorders that do not require surgical treatment, with a disease duration of up to 3 years. Group II consisted of children (59) with various forms of obstruction, dynamically observed before and after treatment (conservative, surgical, or their combination), with a disease duration of 3 to 4 years. Group III was formed by patients (40) with clinical manifestations of chronic renal failure who underwent surgical treatment, with signs of nephrosclerosis, with a disease duration of more than 5 years.
Patients of group II with obstructive uropathies showed a significant increase in the resistance index in the interlobar and segmental arteries and normalization of its values after treatment, which allows us to speak about the functional and adaptive nature of the changes.
The absence of positive dynamics in the Doppler ultrasound indices in children of the III group after treatment and the severity of their changes indicate the presence of morphological disorders.
Keywords:
:
obstructive uropathy, echodopplerography, renal blood flow, children
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