| 排尿性膀胱尿道造影筛查儿童原发性膀胱输尿管反流的意义 |
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| 引用本文： | 杨天香,邵科晶,钱仕良.排尿性膀胱尿道造影筛查儿童原发性膀胱输尿管反流的意义[J].临床误诊误治,2011,24(11):70-71. |
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| 作者姓名： | 杨天香 邵科晶 钱仕良 |
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| 作者单位： | 无锡市人民医院影像科, 江苏 无锡,214023 |
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| 摘 要： | 目的探讨排尿性膀胱尿道造影(micturating cystourethrography,MCU)筛查儿童原发性膀胱输尿管反流(vesi-coureteric reflux,VUR)的意义。方法选择40例经99Tcm-二巯基丁二酸(DMSA)显像后肾脏放射性摄取缺损或减少的尿路感染(urinary tract infection,UTI)患儿行MCU检查,依据国际反流性肾病协会提出的VUR分级标准评价MCU诊断结果。结果 40例MCU检查诊断原发性VUR 16例,检出率为40.0%,其中双侧9例,单侧7例;男8例,女8例;年龄<1岁13例。MCU检查共检出VUR 25个肾输尿管单位,其中Ⅱ级反流2支(8.0%),Ⅲ级反流5支(20.0%),Ⅳ级反流12支(48.0%),Ⅴ级反流6支(24.0%)。结论对UTI患儿进行规范的MCU检查可为原发性VUR诊断和治疗提供客观依据。
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| 关 键 词： | 泌尿道感染 膀胱输尿管反流 儿童 尿路造影术 |
Micturating Cystourethrography Screening: Significance of Primary Vesicoureteric Reflux in Children |
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| YANG Tian-xiang,SHAO Ke-jing,QIAN Shi-liang.Micturating Cystourethrography Screening: Significance of Primary Vesicoureteric Reflux in Children[J].Clinical Misdiagnosis & Mistherapy,2011,24(11):70-71. |
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| Authors: | YANG Tian-xiang SHAO Ke-jing QIAN Shi-liang |
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| Institution: | YANG Tian-xiang,SHAO Ke-jing,QIAN Shi-liang(Department of Radiology,People's Hospital of Wuxi,Wuxi,Jiangsu 214023,China) |
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| Abstract: | Objective To investigate the significance of micturating cystourethrography(MCU) screening in children with vesicoureteric reflux(VUR).Methods According to the International Reflux Study Committee's classification for radiographic grades of reflux,40 cases with urinary tract infections were examined by micturating cystourethrography after being diagnosed as having renal lesion by DMSA renal cortical scintigraph.Results There were 16 cases of primary vesicoureteric reflux among the 40 cases,and the rate of v... |
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| Keywords: | Urinary tract infection Vesicoureteral reflux Child Urography |
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