Aslaksen A, Baerheim A, Hunskaar S, Göthlin J H
Department of Diagnostic Radiology, Haukeland University Hospital, Bergen, Norway.
Scand J Prim Health Care. 1990 Jul;8(2):85-9. doi: 10.3109/02813439008994936.
Intravenous urography and ultrasonography were compared prospectively in 120 women with recurrent urinary tract infection. The median age was 44 years (range 15-85). There was good correlation between the two methods in detecting hydronephrosis, calculi greater than or equal to 5 mm, and major post-pyelonephritic scarring. Urography was superior in detecting small cortical scars, slight caliceal dilatation, and less than or equal to 4 mm calculi. Based on the good results, low cost, and absence of radiation hazards or contrast media reactions, we conclude that ultrasonography may replace urography when a radiological screening of the upper urinary tract is deemed necessary in women with recurrent urinary tract infection.
对120例复发性尿路感染女性患者进行了静脉尿路造影和超声检查的前瞻性比较。中位年龄为44岁（范围15 - 85岁）。两种方法在检测肾积水、直径大于或等于5毫米的结石以及严重的肾盂肾炎后瘢痕形成方面具有良好的相关性。静脉尿路造影在检测小的皮质瘢痕、轻度肾盏扩张以及直径小于或等于4毫米的结石方面更具优势。基于良好的结果、低成本以及无辐射危害或造影剂反应，我们得出结论，当认为对复发性尿路感染女性进行上尿路放射学筛查有必要时，超声检查可能会取代静脉尿路造影。
