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[儿童同位素膀胱反流造影的价值与适应证]

[Value and indication for isotope reflux cystography in children].

作者信息

Zechmann W, Rauschmeier H, Dumfahrt H, Fill H, Joost J, Riccabona G

出版信息

Acta Med Austriaca. 1983;10(2-3):57-60.

PMID:6880573
Abstract

65 children with recurrent urinary infections were investigated by a reflux-cystography method, using 99mTc labelled millimicrospheres. Our results show that this method allows a clinically sufficient diagnosis of reflux. The radiation exposure of the patient is 50-200 times less than the established reference method (X-ray refluxcystography). However, the amount of reflux, i.e. the stage of disease can only be determined by the radiologic method. On the basis of our results it is therefore recommended to use the radionuclide reflux-cystography method as basic investigation and for follow-up. If the basic investigation shows a reflux classification of the reflux has to be evaluated by X-ray reflux-cystography.

摘要

采用99mTc标记的毫微球,通过反流膀胱造影法对65例复发性尿路感染患儿进行了研究。我们的结果表明,该方法能在临床上充分诊断反流。患者所接受的辐射量比既定的参考方法(X线反流膀胱造影)少50至200倍。然而,反流的程度,即疾病的阶段只能通过放射学方法确定。因此,根据我们的结果,建议将放射性核素反流膀胱造影法作为基本检查方法并用于随访。如果基本检查显示有反流,则必须通过X线反流膀胱造影来评估反流的分级。

相似文献

1
[Value and indication for isotope reflux cystography in children].[儿童同位素膀胱反流造影的价值与适应证]
Acta Med Austriaca. 1983;10(2-3):57-60.
2
[Value of isotopic cystography in the diagnosis of vesicoureteral reflux in childhood].[同位素膀胱造影在儿童膀胱输尿管反流诊断中的价值]
Actas Urol Esp. 1989 Sep-Oct;13(5):339-42.
3
Measurement of vesicoureteral reflux with intravenous 99mTc-DTPA compared to radiographic cystography.
Radiology. 1978 Jan;126(1):205-8. doi: 10.1148/126.1.205.
4
Vesicoureteral reflux in asymptomatic siblings of patients with known reflux: radionuclide cystography.已知存在反流的患者无症状同胞中的膀胱输尿管反流:放射性核素膀胱造影
Pediatrics. 1987 Jan;79(1):147-53.
5
[Retrograde isotopic cystography. Its application in the diagnosis of vesico-ureteral reflux in children].
Nouv Presse Med. 1982 Dec 25;11(52):3831-4.
6
Detection of vesicoureteral reflux with radionuclide cystography. A comparison study with roentgenographic cystography.
Am J Roentgenol Radium Ther Nucl Med. 1972 Aug;115(4):720-7. doi: 10.2214/ajr.115.4.720.
7
[The value of radionuclide cystography in the study of reflux. proposition of a diagnostic protocol in children with urinary tract infection (author's transl)].
Ann Pediatr (Paris). 1980 Oct;27(8):543-5.
8
Radionuclide cystography in vesicoureteric reflux.放射性核素膀胱造影在膀胱输尿管反流中的应用
Arch Dis Child. 1988 Jun;63(6):650-1. doi: 10.1136/adc.63.6.650.
9
Interest of direct radionuclide cystography in repeated urinary tract infection exploration in childhood.直接放射性核素膀胱造影在儿童反复尿路感染检查中的应用价值
Eur J Pediatr Surg. 1998 Dec;8(6):339-42. doi: 10.1055/s-2008-1071228.
10
[Detection of vesicoureteral reflux with radionuclide cystography].[放射性核素膀胱造影术检测膀胱输尿管反流]
Srp Arh Celok Lek. 1996;124 Suppl 1:78-81.

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1
Permanent renal parenchymal defects after febrile UTI are closely associated with vesicoureteric reflux.发热性泌尿道感染后永久性肾实质缺损与膀胱输尿管反流密切相关。
Pediatr Nephrol. 2006 Apr;21(4):521-6. doi: 10.1007/s00467-006-0036-3. Epub 2006 Feb 21.