二巯基丁二酸肾扫描在儿童尿路感染中的应用

Dimercaptosuccinic acid renal scan in children with urinary tract infection.

作者信息

Tsai T C, Huang F Y, Yang C T, Shih B F

机构信息

Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.

出版信息

Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1996 Mar-Apr;37(2):111-4.

PMID:8935409

Abstract

The hospital records of 247 children less than 16 years old, who had had UTI and received dimercaptosuccinic acid (DMSA) renal scans during the period October 1991 to October 1993, were reviewed. Abnormal DMSA renal scans were found in 207 kidneys (207/494, 41.9%) and in 163 cases (163/247, 66%). The appearance of an abnormal DMSA renal scan is correlated with fever and vesicoureteral reflux, but not with age or sex. Because the prevalence of upper UTI in children is high, DMSA renal scan is undoubtedly a valuable tool for pediatricians as a guide in giving appropriate antibiotic therapy and to prevent further renal damage.

摘要

回顾了1991年10月至1993年10月期间247名16岁以下患泌尿道感染（UTI）并接受二巯基丁二酸（DMSA）肾扫描的儿童的医院记录。在494个肾脏中发现207个肾脏的DMSA肾扫描异常（207/494，41.9%），163例患儿出现异常（163/247，66%）。DMSA肾扫描异常的表现与发热和膀胱输尿管反流相关，但与年龄或性别无关。由于儿童上尿路感染的患病率较高，DMSA肾扫描无疑是儿科医生指导给予适当抗生素治疗及预防进一步肾损伤的宝贵工具。