Rezumat
Hidronefroza este dilataţia progresivă de diferite grade a arborelui pielocaliceal, însoţită de leziuni atrofice secundare ale parenchimului renal.
Simptomatologia clinică este nerelevantă şi de regulă are semne necaracteristice în funcţie de stadiul evolutiv al bolii şi de apariţia complicaţilor. Au fost
evaluaţi în mod prospectiv 123 pacienţi cu diagnostic de hidronefroza. Afectare unilaterală a fost la 112 (91%) pacienţi, bilaterală la 9 (7,3%) pacienţi,
hidronefroza unicului rinichi congenital sau chirurgical a fost depistată la 2 (1,6%) pacienţi, hidronefroza recidivantă la 12 (9,75%). Rinichiul stîng a
fost implicat în 58 (47,15%) cazuri, cel drept în 56 (45,5%) cazuri. Acuze la lombalgie au prezentat 96,75% (119), formaţiune de volum palpabilă a fost
diagnosticată la 12 pacienţi, hipertensiune arterială în 19 cazuri, tulburări digestive la 12 pacienţi. La 17 pacienţi au fost depistaţi calculi renali de diferite
dimensiuni. Dintre ei, 13 au suportat în anamnestic infecţii urinare.
Summary
Hydronephrosis is a progressive dilation of different degrees of renal pelvis, accompanied by secondary atrophic lesions of the renal parenchyma. Clinical
symptoms are irrelevant and usually have no characteristic signs according to the stage of the disease and to the evolution of complication. During the years
2008 - 2013, in the Clinic of Urology, Dialysis and Renal Transplantation of Republican Clinical Hospital, were prospectively evaluated 123 patients diagnosed
with hydronephrosis. Unilateral disease was found in 112 (91%) patients, bilateral 9 (7.3%) patients, solitary kidney was affected in 2 (1.6%) patients,
relapsing hydronephrosis -12 (9,75%). Left kidney was involved in 58 (47.15%) cases, the right in 56 (45.5%) cases. Back pain was present in 96.75% (119).
A palpable mass was revealed in 12 patients. Arterial hypertension was found in 19 cases. Gastrointestinal disorders occurred in 12 patients. Kidney stones
were found in 17 patients, in 13 of them had urinary tract infections in anamnesis.
