Buckley O, Geoghegan T, O'Brien J, Torreggiani W C
Department of Radiology, Adelaide and Meath Hospitals incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland.
Br J Radiol. 2007 Jun;80(954):392-400. doi: 10.1259/bjr/60682848.
Vesicoureteric reflux (VUR) is a well-recognized entity in the paediatric population, but is not well described or understood in the adult population. This is partly explained by the fact that its incidence declines with advancing age. Its diagnosis is, however, still important, with VUR accounting for at least 10% of adult patients with end-stage renal disease. With early detection and careful management, the secondary complications of VUR such as renal failure can be prevented. Imaging plays a major role in the detection and evaluation of VUR in the adult patient. Conventional techniques such as micturating cystourethrograms have now been supplemented by cross-sectional imaging with CT and MRI. In this review article, we comprehensively review the up to date status of imaging the adult patient with VUR and discuss important subgroups of patients such as pregnant and transplant patients.
膀胱输尿管反流（VUR）在儿科人群中是一个广为人知的病症，但在成人人群中却没有得到充分的描述或了解。部分原因是其发病率会随着年龄的增长而下降。然而，其诊断仍然很重要，因为VUR至少占成年终末期肾病患者的10%。通过早期检测和精心管理，可以预防VUR的继发性并发症，如肾衰竭。影像学在成年患者VUR的检测和评估中起着主要作用。诸如排尿性膀胱尿道造影等传统技术现在已被CT和MRI等断层成像技术所补充。在这篇综述文章中，我们全面回顾了成年VUR患者的影像学最新状况，并讨论了重要的患者亚组，如孕妇和移植患者。
