Tuson J R, McHugh K, Archer L N, Ostman-Smith I, Lindsell D R
Department of Radiology, John Radcliffe Hospital, Oxford, UK.
Clin Radiol. 1995 Jul;50(7):479-82. doi: 10.1016/s0009-9260(05)83165-4.
This study examines the value of the urogram radiograph taken after angiocardiography, in children with suspected congenital heart disease, to screen for co-existent urinary tract abnormalities. A retrospective audit of post-angiocardiography urograms over a three year period 1990 to 1993 is presented. 184 urograms obtained in 166 children were reviewed (86 males; mean age 18.1 months). Twenty-five urograms (13.6%) were obtained in cases where the urinary tract had previously been investigated. These urograms contributed no additional information. Image quality was suboptimal in 62 examinations (33.7%), due to gas, faeces or poor opacification, and two lesions were undetected on suboptimal radiographs. Urinary tract abnormalities were detected in 17 patients (10.2%). These lesions were also detectable at sonography. We suggest that routine post-angiocardiography urograms can be abandoned in favour of sonographic screening of the urinary tract in children with congenital heart disease.
本研究探讨了在疑似先天性心脏病患儿中，心血管造影术后拍摄尿路造影X线片以筛查并存尿路异常的价值。本文呈现了对1990年至1993年三年期间心血管造影术后尿路造影X线片的回顾性审查。对166名儿童获得的184张尿路造影X线片进行了复查（86名男性；平均年龄18.1个月）。其中25张尿路造影X线片（13.6%）是在之前已对尿路进行过检查的病例中获得的。这些尿路造影X线片未提供额外信息。62次检查（33.7%）的图像质量欠佳，原因是存在气体、粪便或造影剂充盈不佳，并且在图像质量欠佳的X线片上有两个病变未被检测到。17名患者（10.2%）检测到尿路异常。这些病变在超声检查中也可被检测到。我们建议，对于先天性心脏病患儿，可放弃常规的心血管造影术后尿路造影X线片检查，而采用超声检查来筛查尿路。
