RENAL SONOGRAPHY IS NOT A RELIABLE SCREENING EXAMINATION FOR VESICOURETERAL REFLUX
RENAL SONOGRAPHY IS NOT A RELIABLE SCREENING EXAMINATION FOR VESICOURETERAL REFLUX
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DOI：
10.1016/s0022-5347(17)35605-7
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发表时间：
1993-08-01
影响因子：
6.6
通讯作者：
BLOOM, DA
中科院分区：
文献类型：
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作者：
BLANE, CE;DIPIETRO, MA;BLOOM, DA
回顾性分析493名婴儿和儿童，以确定肾脏超声检查识别膀胱输尿管反流的可靠性。所有病例均在排尿性膀胱尿道造影后8小时内进行超声检查。在排尿性膀胱尿道造影的986个肾脏中，有272个记录了膀胱输尿管反流，有201个肾脏超声正常（25个I级反流，119个II级反流，50个III级反流，6个IV级反流，1个V级反流）。71例肾盂肾盏超声异常，其中肾盂肾盏扩张45例，重复畸形6例，肾窝畸形20例。74%的膀胱输尿管反流的肾脏超声检查正常。超声检查对于检测膀胱输尿管反流的敏感性和特异性不够，因为28%漏诊的肾盂有III级或更高的反流。
A retrospective analysis of 493 infants and children was performed to determine the reliability of renal sonography for identifying vesicoureteral reflux. Sonography was done in all cases within 8 hours of a voiding cystourethrogram. Vesicoureteral reflux was documented in 272 of 986 kidneys on voiding cystourethrography and -there were 201 refluxing kidneys with normal ultrasound (25 with grade I reflux, 119 with grade II, 50 with grade III, 6 with grade IV and 1 with grade V). In 71 of the refluxing kidneys the ultrasound was abnormal due to pelvicaliceal dilatation in 45, a duplication anomaly in 6 and renal fossae abnormality in 20. Of the kidneys with vesicoureteral reflux 74% were sonographically normal. Sonography was not sufficiently sensitive or specific for detecting vesicoureteral reflux, since 28% of the missed refluxing kidneys had grade III or higher reflux.