Baglin A, Prinseau J, Nasr A, Goupy M C, Samoun M, Mouvier M, Veillon B
Service de Médecine Interne à orientation néphrologique, Hôpital Ambroise Paré, Boulogne.
Ann Med Interne (Paris). 1990;141(1):11-4.
Intravenous urography, systematically performed in 50 consecutive acute pyelonephritis patients, revealed abnormalities in 17 of them: in 12 cases (24%), treatment and follow-up were modified; in the other 5 cases (10%), the anomalies were insignificant. The nephrogram was normal for 33 patients (66%). The frequency of significant abnormalities was higher in patients over 50 years of age (46.2%) than in those under 50 (16.2%) (p less than 0.05), and was also higher in patients remaining febrile for 3 days after the onset of an appropriate antibiotic therapy (66.6%) than in responsive patients (14.4%) (p less than 0.01). Among the significant lesions, 10 were detectable by echography and another by abdominal X-ray. Thus, a population of women under 50 years of age with acute pyelonephritis can be selected for urography, as shown by these results, however, they must be confirmed before changing the systematic practice of urography.
对50例连续的急性肾盂肾炎患者系统地进行静脉肾盂造影检查，其中17例显示异常：12例（24%）患者的治疗和随访方案得以修改；另外5例（10%）患者的异常情况不显著。33例患者（66%）的肾图正常。50岁以上患者中显著异常的发生率（46.2%）高于50岁以下患者（16.2%）（p<0.05），在开始适当抗生素治疗3天后仍发热的患者中显著异常的发生率（66.6%）也高于有反应的患者（14.4%）（p<0.01）。在显著病变中，10例可通过超声检查发现，另1例可通过腹部X线检查发现。因此，根据这些结果，50岁以下患有急性肾盂肾炎的女性群体可被选作静脉肾盂造影检查对象，不过，在改变静脉肾盂造影的常规做法之前，这些结果必须得到证实。
