Hansen A, Wagner A, Lavard L D, Nielsen J T
Børneafdelingen, radiologisk afdeling, Hvidovre Hospital.
Ugeskr Laeger. 1996 Jan 15;158(3):274-7.
Ninety children referred to hospital with urinary tract infections (UTI) were investigated by intravenous urography (IVU), ultrasonography (US) and 99m-Tc dimercaptosuccinic acid scan (DMSA). Fifty-eight children also had a micturition cystourethrography performed. In 36 (40%) of the children at least one result was abnormal. In 29 children IVU was abnormal, 10 had abnormal US and 16 had abnormal DMSA. Six of the 58 children had vesicoureteric reflux in eight kidneys. In 16 children IVU was the only examination with an abnormal result, and in ten of these the findings were considered important for treatment or prognosis. In conclusion, IVU is an important supplement to US and DMSA in investigation programs for children with UTI. IVU should be performed in cases of renal scarring or dilatation and in children with recurrent infections.
对90名因尿路感染（UTI）前来医院就诊的儿童进行了静脉肾盂造影（IVU）、超声检查（US）和99m锝二巯基丁二酸扫描（DMSA）。58名儿童还进行了排尿性膀胱尿道造影。在36名（40%）儿童中，至少有一项检查结果异常。29名儿童IVU异常，10名儿童超声检查异常，16名儿童DMSA异常。58名儿童中有6名在8个肾脏中存在膀胱输尿管反流。16名儿童中，IVU是唯一一项检查结果异常的检查，其中10名儿童的检查结果被认为对治疗或预后很重要。总之，在儿童尿路感染的检查方案中，IVU是超声检查和DMSA的重要补充。在存在肾瘢痕或扩张的情况下以及复发性感染的儿童中应进行IVU检查。
