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先天性脊柱侧凸与泌尿系统异常:静脉肾盂造影有必要做吗?

Congenital scoliosis and urinary tract abnormalities: are intravenous pyelograms necessary?

作者信息

Drvaric D M, Ruderman R J, Conrad R W, Grossman H, Webster G D, Schmitt E W

出版信息

J Pediatr Orthop. 1987 Jul-Aug;7(4):441-3. doi: 10.1097/01241398-198707000-00012.

DOI:10.1097/01241398-198707000-00012
PMID:3301897
Abstract

One hundred patients with a diagnosis of congenital scoliosis were reviewed with regard to their urologic history, chemistries, and excretory urography. A 40% incidence of urologic abnormality was found in these asymptomatic patients. Twenty-five additional patients were evaluated by excretory urography and ultrasonography. Of six patients identified by ultrasonography as having abnormalities five had results confirmed by excretory urography. Urologic evaluation of all patients with congenital scoliosis is recommended; however, diagnostic ultrasonographic evaluations of the urinary tract have proven to be an acceptable alternative as an initial screening modality.

摘要

对100例先天性脊柱侧凸患者的泌尿病史、化学检查及排泄性尿路造影进行了回顾。在这些无症状患者中发现40%存在泌尿系统异常。另外25例患者接受了排泄性尿路造影和超声检查。超声检查发现有异常的6例患者中,5例经排泄性尿路造影证实。建议对所有先天性脊柱侧凸患者进行泌尿系统评估;然而,事实证明,作为初步筛查方式,对尿路进行诊断性超声检查是一种可接受的替代方法。

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Congenital scoliosis and urinary tract abnormalities: are intravenous pyelograms necessary?先天性脊柱侧凸与泌尿系统异常:静脉肾盂造影有必要做吗?
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