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输尿管喷流患儿反流的发生情况

Occurrence of reflux in children with ureteral jets.

作者信息

Eklöf O A, Johanson L

出版信息

Pediatr Radiol. 1980 Nov;10(2):95-9. doi: 10.1007/BF01001747.

DOI:10.1007/BF01001747
PMID:7454429
Abstract

The urograms of 186 boys and 145 girls were scrutinized in order to reveal the incidence of ureteral jets demonstable during intravenous pyelography (IVP). In this series a unilateral jet was observed in 26 cases and a bilateral jet in 6 cases. Ureteral jets were almost three times as common in patients with normal urograms compared with those revealing urinary abnormalities. The incidence of a positive jet sign, usually unilateral, varies with the employed technique of examination, but the highest incidence in routine IVP seems to be about 30%. Although infrequent, significant ipsilateral vesico-ureteral reflux (VUR) may occur. This fact together with the reported low rate of bilateral jets restricts the value or Unilateral jets being used as an indicator of absence of gross VUR. The need for micturition cysto-urethography (MCU) at the uro-radiological work-up remains unchallenged.

摘要

对186名男孩和145名女孩的尿路造影进行了仔细检查,以揭示静脉肾盂造影(IVP)期间可显示的输尿管喷射的发生率。在该系列中,观察到26例单侧喷射和6例双侧喷射。与显示泌尿系统异常的患者相比,尿路造影正常的患者中输尿管喷射几乎是其三倍。阳性喷射征(通常为单侧)的发生率因所采用的检查技术而异,但在常规IVP中最高发生率似乎约为30%。虽然不常见,但可能会发生明显的同侧膀胱输尿管反流(VUR)。这一事实以及报告的双侧喷射发生率较低限制了将单侧喷射用作无明显VUR指标的价值。在泌尿放射学检查中进行排尿膀胱尿道造影(MCU)的必要性仍然没有受到质疑。

相似文献

1
Occurrence of reflux in children with ureteral jets.输尿管喷流患儿反流的发生情况
Pediatr Radiol. 1980 Nov;10(2):95-9. doi: 10.1007/BF01001747.
2
Absence of vesico-ureteral reflux in children with ureteral jets.有输尿管喷流的儿童不存在膀胱输尿管反流。
Radiology. 1977 Jul;124(1):185-7. doi: 10.1148/124.1.185.
3
Excretory urography and cystourethrography in the evaluation of children with urinary tract infection.排泄性尿路造影和膀胱尿道造影在评估儿童尿路感染中的应用。
Clin Pediatr (Phila). 1984 May;23(5):265-7. doi: 10.1177/000992288402300504.
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Prediction of vesico-ureteral reflux in children from intravenous urography films.通过静脉肾盂造影影片预测儿童膀胱输尿管反流
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Indirect radionuclide cystography demonstrates reflux under physiological conditions.间接放射性核素膀胱造影可显示生理条件下的反流。
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[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]
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Is sonographically demonstrated mild distal ureteric dilatation predictive of vesicoureteric reflux as seen on micturating cystourethrography?超声检查显示的轻度输尿管远端扩张能否预测排尿性膀胱尿道造影所见的膀胱输尿管反流?
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The justification for early radiological investigations of urinary-tract infection in children.儿童尿路感染早期影像学检查的理由。
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引用本文的文献

1
Doppler waveforms of the ureteric jet: an overview and implications for the presence of a functional sphincter at the vesicoureteric junction.输尿管喷射的多普勒波形:概述及对膀胱输尿管连接部功能性括约肌存在的意义
Pediatr Radiol. 2007 May;37(5):417-25. doi: 10.1007/s00247-007-0433-1. Epub 2007 Mar 20.

本文引用的文献

1
URETERAL JETS.
Radiologe. 1964 Dec;4:398-400.
2
Forceful ureteral spurt. A common roentgen manifestation of urinary tract infection in children.
Radiology. 1962 Dec;79:933-8. doi: 10.1148/79.6.933.
3
Ureteral jet phenomenon; stream of opaque medium simulating an anomalous configuration of the ureter.输尿管喷射现象;不透光介质流模拟输尿管异常形态。
Radiology. 1955 Dec;65(6):933-5. doi: 10.1148/65.6.933.
4
Variations in vesicoureteral reflux. Influence on diagnostic validity.
膀胱输尿管反流的变异。对诊断效度的影响。
Acta Radiol Diagn (Stockh). 1980;21(2):269-73. doi: 10.1177/028418518002102b03.
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Complications associated with cystography in children.儿童膀胱造影相关并发症。
Radiology. 1974 Apr;111(1):167-72. doi: 10.1148/111.1.167.
6
Renal blood flow and function in vesico-ureteric reflux. An experimental study in the pig.膀胱输尿管反流时的肾血流与功能。猪的实验研究。
Scand J Urol Nephrol. 1975(28 suppl):71-86.
7
Absence of vesico-ureteral reflux in children with ureteral jets.有输尿管喷流的儿童不存在膀胱输尿管反流。
Radiology. 1977 Jul;124(1):185-7. doi: 10.1148/124.1.185.
8
Effect of vesicoureteral reflux on renal function in children with recurrent urinary tract infection.s.膀胱输尿管反流对复发性尿路感染患儿肾功能的影响。
Kidney Int. 1976 May;9(5):418-23. doi: 10.1038/ki.1976.51.
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Relationship between area and function of the kidney in well defined childhood nephropathies.明确的儿童肾病中肾脏面积与功能的关系。
Acta Radiol Diagn (Stockh). 1978;19(1B):186-96. doi: 10.1177/028418517801901b05.
10
Vesicoureteric reflux and pyelonephritis. Long time effect on area of renal parenchyma.膀胱输尿管反流与肾盂肾炎。对肾实质面积的长期影响。
Acta Radiol Diagn (Stockh). 1979;20(1):252-60.