Bircan Z E, Buyan N, Hasanoğlu E, Oztürk E, Bayhan H, Işik S
Department of Paediatrics, Gazi University Hospital, Turkey.
Int Urol Nephrol. 1995;27(1):27-32. doi: 10.1007/BF02575216.
This prospective study was designed to investigate the most relevant radiological approach for the evaluation of urinary tract infections (UTI) in childhood. In the first 48 hours following the diagnosis of UTI, all patients underwent 99mTc dimercaptosuccinic acid (DMSA) scanning, ultrasonography (US) and intravenous urography (IVU). For the imaging of renal parenchymal infection the sensitivity of IVU and US as compared to DMSA scanning were found to be 9.09% and 25%, respectively. It was concluded that 99mTc DMSA, where available, should be the first step for the accurate diagnosis and follow-up of patients with UTI.
本前瞻性研究旨在探讨评估儿童尿路感染(UTI)最相关的放射学方法。在UTI诊断后的头48小时内,所有患者均接受了99mTc二巯基丁二酸(DMSA)扫描、超声检查(US)和静脉肾盂造影(IVU)。对于肾实质感染的成像,发现IVU和US相对于DMSA扫描的敏感性分别为9.09%和25%。得出的结论是,在可行的情况下,99mTc DMSA应作为UTI患者准确诊断和随访的第一步。