Pedersen H K, Gudmundsen T E, Ostensen H, Pape J F
Department of Radiology, University Hospital of Tromsoe, Norway.
Pediatr Radiol. 1987;17(6):463-6. doi: 10.1007/BF02388279.
This report derives from Tromsoe in northern Norway. In a retrospective study of the indications for intravenous urography (IU) and the findings at IU in 740 patients (451 girls and 289 boys) aged 0-19 years, we found that urinary tract infections accounted for 69.4% of the IU in females 30.1% of the IU in males, most often seen in the youngest patients. The pathological findings most frequently seen were anomalies (17 females and 10 males) and urinary tract obstruction (3 females and 15 males). The present study indicates the following: first, that the yield of IU in the primary investigation of children and youth suffering from enuresis and non-specific abdominal disturbancies is small; and second, that the use of IU in children and youth with urinary tract infection and haematuria should be questioned and reconsidered.
本报告源自挪威北部的特罗姆瑟。在一项对740名0至19岁患者(451名女孩和289名男孩)进行静脉尿路造影(IU)指征及IU检查结果的回顾性研究中,我们发现尿路感染在女性IU检查原因中占69.4%,在男性中占30.1%,最常见于最年幼的患者。最常出现的病理结果是异常(17名女性和10名男性)和尿路梗阻(3名女性和15名男性)。本研究表明:第一,IU在对患有遗尿症和非特异性腹部不适的儿童及青少年进行初步检查时的诊断价值不大;第二,对于患有尿路感染和血尿的儿童及青少年使用IU检查应受到质疑并重新审视。