| 膀胱输尿管返流及返流性肾病的放射学诊断与动物实验 |
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| 引用本文： | 方昆豪,黄兆民,廖惜云. 膀胱输尿管返流及返流性肾病的放射学诊断与动物实验[J]. 中山大学学报(医学科学版), 1992, 0(1) |
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| 作者姓名： | 方昆豪 黄兆民 廖惜云 |
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| 作者单位： | 中山医科大学附属第一医院放射科(方昆豪，黄兆民)，中山医科大学附属第一医院放射科(廖惜云) |
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| 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。
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| 关 键 词： | 膀胱输尿管返流 返流性肾病 尿路感染 放射学诊断 动物实验 |
RADIOLOGIC DIAGNOSIS AND EXPERIMENTAL STUDY OF VESICOURETERAL REFLUX AND REFLUX NEPHROPATHY |
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| Fang Kunhao Huang Zhaomin Liao Xiyun. RADIOLOGIC DIAGNOSIS AND EXPERIMENTAL STUDY OF VESICOURETERAL REFLUX AND REFLUX NEPHROPATHY[J]. Journal of Sun Yatsen University(Medical Sciences), 1992, 0(1) |
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| Authors: | Fang Kunhao Huang Zhaomin Liao Xiyun |
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| Abstract: | 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. |
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| Keywords: | vesicoureteral reflux reflux nephropathy urinary tract infection rad- iologic diagnosis experimental study |
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