Agarwal S
Department of Urology, Hammersmith Hospital, London, UK.
Curr Opin Urol. 2000 Nov;10(6):587-92. doi: 10.1097/00042307-200011000-00009.
Urinary tract infection is a common problem in children. The combination of vesico-ureteric reflux (VUR) and urinary tract infection may predispose children to pyelonephritis and subsequent complications. This review outlines the modifications suggested in the recent literature in the protocol for investigations and diagnosing VUR. Recent interest has been expressed in studying certain molecular markers to measure non-invasively renal damage in children with VUR. Long term results of comparative trials between medical and surgical management have been published recently.
尿路感染是儿童中的常见问题。膀胱输尿管反流(VUR)与尿路感染相结合可能使儿童易患肾盂肾炎及随后的并发症。本综述概述了近期文献中对VUR检查和诊断方案提出的修改建议。最近人们对研究某些分子标志物以无创测量VUR患儿的肾损伤产生了兴趣。近期已发表了药物治疗与手术治疗对比试验的长期结果。