摘要
本文报告40例儿童64例成人慢性复发性尿路感染作静脉尿路造影(IVU)和排原则膀胱尿道造影的检查结果。儿童组的膀胱输尿管返流(VUR)发现率66.2％(53/80个肾),有肾损害病例(46个肾)全部有VUR。成人组的VUR发现率25％(32/128个肾),有肾损害病例70％(28/40个肾)。肾损害的IVU表现可分为单或多灶性肾瘢痕、弥漫性肾损害伴肾盂积水及弥漫性重度萎缩肾或小肾3种形式。讨论了返流性肾病(RN)的诊断标准结合实验性动物模型对VUR与肾损害的关系及RN的病理特点作了探讨。
The results of intravenous urography (IVU) and Micturating cystourethrography in 40 children and 64 adults with recurrent urinary tract infection (UTI) were presented. Vesicoureteral reflux (VUR) was detected in 66.2% (53/80) of kidneys in children group with UTI and in all 40 damaged kidneys. In adult group, VUR was found in 25% (32/128) of kidneys and in 70% (28/40) of damaged kidneys. The diagnostic criteria of reflux nephropathy (RN) was discussed, and the IVU findings of RN in both groups were classified into three patterns: (1) single or multiple focal renal scarring (26 /86), (2) diffuse renal damaged with hydronephrosis (34/86) and (3) diffuse severe atrophic kidney or small kidney (26/86). The relationship between VUR and renal damage and the pathological features of RN were discussed in conjuntion with experimental VUR models.
出处
《中山医科大学学报》
CSCD
1992年第1期44-48,83,共5页
Academic Journal of Sun Yat-sen University of Medical Sciences
关键词
返流性肾病
放射学诊断
动物实验
vesicoureteral reflux
reflux nephropathy
urinary tract infection
rad- iologic diagnosis
experimental study
