Bisset G S, Strife J L, Dunbar J S
AJR Am J Roentgenol. 1987 Mar;148(3):479-82. doi: 10.2214/ajr.148.3.479.
The voiding cystourethrogram and excretory urogram have been considered essential parts of the evaluation of girls with urinary tract infections. To evaluate the usefulness of these procedures, 523 examinations in girls with urinary tract infections were reviewed retrospectively. The major finding on voiding cystourethrograms was vesicoureteral reflux, occurring in 36% of the children. Of the total group, 8% had excretory urographic evidence of parenchymal scarring. Higher grades of reflux were associated with an increase in parenchymal scarring. All urethras were normal, and only one paraureteral diverticulum was identified. Bladder emptying was incomplete in 46% of the patients. Ovarian radiation doses were measured with "low-dose" and standard systems. On the basis of this study, traditional approaches to the standard workup are questioned.
排尿性膀胱尿道造影和排泄性尿路造影一直被认为是评估女童尿路感染的重要组成部分。为了评估这些检查方法的实用性，我们回顾性分析了523例女童尿路感染的检查结果。排尿性膀胱尿道造影的主要发现是膀胱输尿管反流，在36%的患儿中出现。在整个研究组中，8%的患儿排泄性尿路造影有实质瘢痕形成的证据。反流程度越高，实质瘢痕形成的发生率越高。所有尿道均正常，仅发现1例输尿管旁憩室。46%的患者膀胱排空不全。用“低剂量”和标准系统测量了卵巢的辐射剂量。基于这项研究，对标准检查的传统方法提出了质疑。
