Bickeböller R, Jonas D
Klinik für Urologie und pädiatrische Urologie, Johann-Wolfgang-Goethe-Universität, Frankfurt am Main, Deutschland.
Wien Med Wochenschr. 1997;147(21):490-1.
The diagnostic procedures in children presenting urological symptoms, i.e. hematuria, recurrent urinary tract infections, disorders of the upper urinary tract or of the pattern of micturition include urinary sediment and bacterial culture, the investigation of red blood cell morphology, urinary electrolytes and osmolarity, ultrasound, i.v. pyelogram, cysturethrogram, combined uroflow and pelvic floor-EMG, MAG III-clearance and a urodynamic evaluation. In the rare situation of unclear symptoms that defy the non-invasive diagnostic procedures mentioned, a urethrocystoscopy can be advisable. A cystoscopy will be mandatory in endoscopic therapy or when operative interventions are planned.
对于出现泌尿系统症状的儿童,即血尿、复发性尿路感染、上尿路疾病或排尿模式异常,诊断程序包括尿沉渣和细菌培养、红细胞形态检查、尿电解质和渗透压测定、超声检查、静脉肾盂造影、膀胱尿道造影、尿流率与盆底肌电图联合检查、MAG III清除率测定以及尿动力学评估。在罕见的情况下,如果症状不明确,无法通过上述非侵入性诊断程序明确,可考虑进行尿道膀胱镜检查。在内镜治疗或计划进行手术干预时,膀胱镜检查是必需的。