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2007年反流的诊断方法。

Diagnostic approach to reflux in 2007.

作者信息

Dave Sumit, Khoury Antoine E

机构信息

Division of Urology, Children's Hospital, London Health Sciences Centre, London, Ontario, Canada N6A 5W9.

出版信息

Adv Urol. 2008;2008:367320. doi: 10.1155/2008/367320.

Abstract

There is ongoing controversy regarding the association between vesicoureteric reflux (VUR), recurrent urinary tract infections (UTI), and renal damage. Despite this, routine work up for VUR is still recommended after febrile UTI in most children. The present article reviews the indications and imaging modalities available for VUR diagnosis. Alternative newer techniques like MR cystography and voiding urosonography are discussed. The increasing evidence of the role of DMSA scans in managing children with VUR is highlighted.

摘要

关于膀胱输尿管反流(VUR)、复发性尿路感染(UTI)和肾损伤之间的关联,目前仍存在争议。尽管如此,大多数儿童在发热性UTI后仍建议进行VUR的常规检查。本文综述了可用于VUR诊断的指征和成像方式。还讨论了诸如磁共振尿路造影和排尿超声等更新的替代技术。强调了二巯基丁二酸(DMSA)扫描在管理VUR患儿中作用的证据日益增多。

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本文引用的文献

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Evaluation of reflux nephropathy, pyelonephritis and renal dysplasia.
Pediatr Radiol. 2008 Jan;38 Suppl 1:S83-105. doi: 10.1007/s00247-007-0668-x. Epub 2007 Dec 11.
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Normal dimercaptosuccinic acid scintigraphy makes voiding cystourethrography unnecessary after urinary tract infection.
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