Department of Pediatric Urology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Department of Pediatric Urology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Urol Clin North Am. 2023 Aug;50(3):391-402. doi: 10.1016/j.ucl.2023.04.003. Epub 2023 May 16.
Although investigations over the past 2 decades have improved our understanding of the natural history of vesicoureteral reflux (VUR) and helped identify those at higher risk of both VUR itself as well as its potential severe sequelae, debate exists regarding key aspects of care, including when to perform diagnostic imaging and which patients benefit from continuous antibiotic prophylaxis. Artificial intelligence and machine learning have the potential to distill large volumes of granular data into practical tools that clinicians can use to guide diagnosis and management decisions. Surgical treatment, when indicated, remains highly effective and is associated with low morbidity.
尽管过去 20 年来的研究提高了我们对膀胱输尿管反流（VUR）自然史的认识，并有助于确定那些既有 VUR 本身风险又有其潜在严重后果风险的患者，但在关键治疗方面仍存在争议，包括何时进行诊断性影像学检查以及哪些患者受益于持续抗生素预防。人工智能和机器学习有可能将大量的细粒度数据提炼成实用工具，临床医生可以使用这些工具来指导诊断和管理决策。有指征的手术治疗仍然非常有效，且并发症发生率低。
