影像学检查在泌尿系感染患儿解剖异常诊断中的应用  

Application of Imaging Check in Diagnosis of Children with Urinary Tract Infection of Abnormal Anatomy

作　　者：王凡[1] 方芳[1] 谢路[1] 

机构地区：[1]昆明市妇幼保健院,昆明650031

出　　处：《医学综述》2010年第18期2839-2842,共4页Medical Recapitulate

摘　　要：泌尿系感染是小儿时期常见的感染性疾病,其复发和再感染多伴有泌尿系统结构异常。超声检查诊断急性肾盂肾炎有重要价值。腹部X线平片是检查结石的首选方法。排泄性泌尿系超声检查是诊断膀胱输尿管反流的前沿方法。排泄性膀胱尿道造影可确诊膀胱结石。计算机体层成像和磁共振成像能准确检测儿童泌尿系感染肾损害,但因其昂贵及需使用造影剂,目前不列为常规应用。二巯基琥珀酸扫描是评估肾瘢痕的标准检查方法。直接法放射性核素膀胱显像检测膀胱输尿管反流敏感度高。Urinary tract infection was common infectious diseases in childhood,the recurrence and re-infections associated with structural abnormality of urinary system.Ultrasonograph diagnosis to acute pyelonephritis had important value.Abdominal X-ray was the preferred method of checking stones.Urinary excretion of ultrasonograph was the frontier approach to diagnose vesicoureteral reflux.Excretory cystourethrography can diagnose bladder stones.Computer tomography and magnetic resonance imaging can accurately detect urinary tract infection of children kidney damage,but it was expensive and need contrast agent,it was not included in routine application.Dimercaptosuccinic acid scan was the standard screening method to assess renal scarring.Direct radionuclide urinary bladder imaging had high sensitivity in detecting bladder vesicoureteral reflux.

关 键 词：泌尿系统结构异常 影像诊断 检查方案 

分 类 号：R725.7[医药卫生—儿科]