Hyla-Klekot L, Paradysz A, Gazda L, Romańczuk M, Baranowski J
Kliniki Pediatrii i Hematologii Slaskiej, Akademii Medycznej w Katowicach.
Wiad Lek. 1998;51 Suppl 3:71-6.
We performed a comparative evaluation of anatomical and functional changes in kidneys after urinary tract reconstructive procedures and in patients with history of urinary tract infections using renal scintigraphy and other imaging techniques. Statistically significant differences in the prevalence of pathological findings in imaging between these groups were shown. When children after the RVU are taken into account renal scintigraphy supplies us with objective and precise data about the renal scarring degree. In this group repeated renal scintigraphy should be warranted. After the reconstructive procedures due to hydronephrosis the images from ultrasonography and renal scintigraphy correlate well. Ultrasonography is a golden standard for screening these patients. Statistically significant higher degree of renal scarring in renal scintigraphy in patients after urinary tract infections without urinary tract defect proves the important role of infections in the pathogenesis of these changes. Children with recurrent symptomatic urinary tract infections should be submitted to renal scintigraphy imaging on regularly basis, as a risk group of higher chronic pyelonephritis prevalence.
我们使用肾闪烁显像和其他成像技术，对尿路重建手术后肾脏的解剖和功能变化以及有尿路感染病史的患者进行了比较评估。结果显示，这些组之间成像中病理结果的患病率存在统计学上的显著差异。当考虑到行反流性输尿管膀胱连接部（RVU）手术后的儿童时，肾闪烁显像为我们提供了关于肾脏瘢痕形成程度的客观准确数据。在这组患者中，应保证重复进行肾闪烁显像。由于肾积水进行重建手术后，超声检查和肾闪烁显像的图像相关性良好。超声检查是筛查这些患者的金标准。在无尿路缺陷的尿路感染患者中，肾闪烁显像显示出统计学上显著更高程度的肾脏瘢痕形成，这证明了感染在这些变化发病机制中的重要作用。有复发性症状性尿路感染的儿童应定期接受肾闪烁显像检查，因为他们是慢性肾盂肾炎患病率较高的风险群体。
