Honkinen O, Ruuskanen O, Rikalainen H, Mäkinen E O, Välimäki I
Pediatr Infect Dis. 1986 Nov-Dec;5(6):633-5. doi: 10.1097/00006454-198611000-00006.
Renal ultrasonography, excretory urography and radionuclide-voiding cystography or conventional voiding cystourethrography were performed in 76 children with urinary tract infection. Forty children had functional or anatomical abnormalities. Twenty-eight children had vesicoureteral reflux and 12 children had an obstructive lesion. All 12 children with obstructive lesions as well as 4 children with reflux and hydronephrosis required corrective surgery. Ultrasonography as the initial procedure detected 14 of these cases and the other 2 were discovered in voiding cystourethrography. Our data and those in the literature suggest that renal ultrasonography may be the method of choice in children with urinary tract infection. This is followed by voiding cystourethrography or radionuclide-voiding cystography. Excretory urography is not necessary in the initial evaluation of these patients, but it should be utilized when the other imaging methods show an abnormality and more detailed anatomical visualization of the upper urinary tract is required. Using this protocol in children with urinary tract infection, unnecessary radiation, discomfort and expense will be avoided.
对76例尿路感染患儿进行了肾脏超声检查、排泄性尿路造影以及放射性核素排尿膀胱造影或传统排尿膀胱尿道造影。40例患儿存在功能或解剖异常。28例患儿有膀胱输尿管反流，12例患儿有梗阻性病变。所有12例有梗阻性病变的患儿以及4例有反流和肾积水的患儿均需要进行矫正手术。超声检查作为初始检查方法发现了其中14例，另外2例在排尿膀胱尿道造影中发现。我们的数据以及文献中的数据表明，肾脏超声检查可能是尿路感染患儿的首选检查方法。其次是排尿膀胱尿道造影或放射性核素排尿膀胱造影。排泄性尿路造影在这些患者的初始评估中并非必要，但当其他影像学方法显示异常且需要对上尿路进行更详细的解剖可视化时应使用。在尿路感染患儿中采用该方案，可避免不必要的辐射、不适和费用。
