儿童尿路感染早期影像学检查的理由。

The justification for early radiological investigations of urinary-tract infection in children.

作者信息

Saxena S R, Laurance B M, Shaw D G

出版信息

Lancet. 1975 Aug 30;2(7931):403-4. doi: 10.1016/s0140-6736(75)92911-6.

Abstract

97 children, 67 girls aged 0-13 years and 30 boys aged 0-11 years, with apparent first urinary-tract infections were investigated radiologically. The intravenous pyelogram was abnormal in 15.5% of the girls and 33% of the boys and the micturating cystourethrogram was abnormal in 34% of the girls and 39% of the boys. When both examinations were combined the abnormality-rate rose to 41% in the two sexes. Accordingly, radiological investigation of the renal tract is recommended after the first proven urinary tract infection.

摘要

对97名疑似首次发生尿路感染的儿童进行了放射学检查，其中67名女孩年龄在0至13岁之间，30名男孩年龄在0至11岁之间。静脉肾盂造影显示，15.5%的女孩和33%的男孩存在异常；排尿性膀胱尿道造影显示，34%的女孩和39%的男孩存在异常。两项检查结果综合起来，两性的异常率升至41%。因此，建议在首次确诊尿路感染后对尿路进行放射学检查。