Paediatric Radiology Unit, University Medical Centre, Bohoriceva 20, 1000, Ljubljana, Slovenia.
Pediatr Nephrol. 2010 Jul;25(7):1201-6. doi: 10.1007/s00467-009-1391-7. Epub 2010 Jan 13.
In recent years, the exact role of vesicoureteric reflux (VUR) in general has become controversial, though in some groups of children the knowledge of the existence or non-existence of VUR is still a very important issue. The number of techniques available for the assessment of VUR is increasing, and a new classification taking into account their real characteristics (direct/indirect, catheter-using/catheter-free, radiation-giving/radiation-free) has been proposed. The purpose of the following review is to evaluate the currently available evidence supporting the use of various catheter-free methods for VUR detection. We believe that as the clinical role of VUR has been questioned, it is even more important for the method of its detection to be user-friendly as regards catheterisation, radiation and availability. There is still no evidence supporting the assertion that any of the catheter-free methods of VUR detection might be the optimal one for any child. However, there are some groups of children who would benefit from using them. New studies using new, catheter-free methods of VUR detection or a combination of two or more of the methods described may prove useful in improving sensitivity and providing additional data on this important issue.
近年来，尽管在某些儿童群体中，了解是否存在膀胱输尿管反流（VUR）仍然是一个非常重要的问题，但 VUR 的确切作用在总体上已变得颇具争议。用于评估 VUR 的技术数量正在增加，并且已经提出了一种新的分类方法，该方法考虑了它们的实际特征（直接/间接、使用导管/不使用导管、有辐射/无辐射）。本文的目的是评估目前支持使用各种无导管方法检测 VUR 的证据。我们认为，由于 VUR 的临床作用受到质疑，因此检测其的方法在导管插入、辐射和可用性方面更便于用户使用也非常重要。目前还没有证据支持任何一种无导管 VUR 检测方法可能是任何儿童的最佳方法的说法。然而，确实有一些儿童群体受益于使用这些方法。使用新的无导管 VUR 检测方法或描述的两种或多种方法的组合进行新的研究可能有助于提高敏感性，并为这一重要问题提供更多数据。
