摘要
报告40例儿童尿路感染作排尿期膀胱尿道造影(MCU)和静脉尿路造影(IVU)的研究结果。膀胱输尿管返流(VUR)发生率66.2%(53/80侧),大多数为下尿路病变继发返流.在有返流的病例中86.8%(46/53侧)有肾损害。肾损害(返流性肾病)的IVU 表现分三种形式:(1)局灶性肾瘢痕(5/46侧);(2)弥漫性肾损害伴积水(28/46侧)及(3)严重萎缩肾或小肾(13/46侧).强调对尿路感染儿童作MCU 的意义和男孩发现VUR 后摄尿道片的重要性.对VUR 与肾损害的关系、肾厚层体层摄影和CT 在诊断肾损害及核素显象在诊断VUR 上的价值作了讨论.
The results of micturating cystou-rethrography(MCU)and intravenousurography(IVU)in 40 children withurinary tract infection were presented.Vesicoureteral reflux(VUR)was de-tected in 66.2%,and most of themwere secondary to lower urinary tractdisease.Among them,89.8% of kid-neys had renal damage.The IVU fin-dings of renal damage(reflux nephro-pathy)in 46 kidneys were classifiedinto three patterns:(1)focal renalscarring(5/46),(2)diffuse renal dama-ge with hydronephrosis(28/46)and(3)severe atrophic or small kidney(13/46).The significance of MCU in childrenwith urinary tract infection and theimportance of urethral films after dis-covery of VUR in boys were emphasi-zed.The relationship betwecn VUR andrenal damage was discussed.The valueof nephrozonography and CT in diag-nosing renal damage and radionuclideimaging in diagnosing renal damageand VUR was also discussed.
出处
《临床放射学杂志》
CSCD
北大核心
1992年第3期115-118,T017,共5页
Journal of Clinical Radiology
