Dybiec E, Bieganowska-Klamut Z
Zakład Radiologii Pediatrycznej Akademii Medycznej w Lublinie.
Ann Univ Mariae Curie Sklodowska Med. 1996;51:109-13.
In this report cases of the coincidence of vesicoureteral reflux with different congenital abnormalities have been described. Radiological and ultrasonographic examinations of 240 children with 324 vesicoureteral refluxes showed the presence in 8.7% additional congenital anomalies such as: duplex pelvicaliceal system and duplex ureter, ureterocele, horseshoe kidney, primary megaureter, ureteropelvic junction obstruction, posterior urethral valves, neurogenic bladder. The coincidence of these abnormalities with vesicoureteral reflux caused some diagnostic and therapeutic difficulties. In conclusion we suggest that in the cases of the coincidence of different congenital abnormalities, the proper sequence of performed diagnostic examinations and complexity evaluation of the results are very important.
在本报告中，描述了膀胱输尿管反流与不同先天性异常同时存在的病例。对240例患有324处膀胱输尿管反流的儿童进行的放射学和超声检查显示，8.7%的患儿存在其他先天性异常，如：重复肾盂肾盏系统和重复输尿管、输尿管囊肿、马蹄肾、原发性巨输尿管、输尿管肾盂连接处梗阻、后尿道瓣膜、神经源性膀胱。这些异常与膀胱输尿管反流同时存在导致了一些诊断和治疗上的困难。总之，我们建议，在不同先天性异常同时存在的病例中，进行诊断检查的正确顺序以及对结果的综合评估非常重要。
